Organization
EASTERN SUFFOLK NEPHROLOGY, PC
Active
Other names
PURSHOTAM NAGWANI, MD
Organization subpart
No
Provider details
NPI number
Authorized official
PURSHOTAM NAGWANI MD (MD)
(631) 727-5112
Entity
Organization
Contact information
Practice address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Mailing address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
143580
NY
Other
Enumeration date
11/02/2006
Last updated
06/18/2008
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