Organization
PREMIER NEPHROLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAFFORD DESMOND JOHN (PRESIDENT)
(718) 345-9106
Entity
Organization
Contact information
Practice address
723 REMSEN AVE, BROOKLYN, NY 11236-1227
(718) 345-9106
(718) 261-1336
Mailing address
723 REMSEN AVE, BROOKLYN, NY 11236-1227
(718) 345-9106
(718) 261-1336
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
202469
NY
Other
Enumeration date
08/03/2011
Last updated
03/15/2012
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