Organization
ISLAND NEPHROLOGY CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SANGINARIO (CREDENTIALING MANAGER)
(631) 745-7594
Entity
Organization
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(516) 318-8527
Mailing address
145 ORINOCO DR, #459, BRIGHTWATERS, NY 11718-3024
(516) 318-8527
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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