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Organization

LONG ISLAND NEPHROLOGY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIANNE ALBRO (OFFICE MANAGER)
(631) 331-4403
Entity
Organization

Contact information

Practice address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932
Mailing address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01552161
MEDICAID GROUP
NY
01
CN3387
RAILROAD MEDICARE GROUP
NY
Enumeration date
10/02/2006
Last updated
06/06/2008
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