Organization
KIDNEY CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN B. SHAPIRO MD (PRESIDENT)
(718) 209-4100
Entity
Organization
Contact information
Practice address
2035 RALPH AVE, SUITE #B5, BROOKLYN, NY 11234-5300
(718) 209-4100
(718) 209-0715
Mailing address
2035 RALPH AVE, SUITE #B5, BROOKLYN, NY 11234-5300
(718) 209-4100
(718) 209-0715
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2348482
AETNA US HEALTHCARE-HMO
NY
01
—
7921147
AETNA US HEALTHCARE-PPO
NY
Enumeration date
11/28/2005
Last updated
08/22/2020
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