Organization
EAST END NEPHROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARMINI JAYAMAHA M.D. (PRESIDENT)
(631) 477-1755
Entity
Organization
Contact information
Practice address
222 MANOR PL, SUITE # 102, GREENPORT, NY 11944-1261
(631) 477-1755
(631) 477-1754
Mailing address
222 MANOR PL, SUITE # 102, GREENPORT, NY 11944-1261
(631) 477-1755
(631) 477-1754
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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