Organization
NOVO DIALYSIS FLATLANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADITYA MATTOO MD (SOLE MEMBER)
(347) 284-1122
Entity
Organization
Contact information
Practice address
2306 NOSTRAND AVE, BROOKLYN, NY 11210-3840
(540) 254-7791
Mailing address
780 LONG BEACH BLVD, LONG BEACH, NY 11561-2238
(540) 254-7750
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
12/23/2021
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