Organization
NEPHROLOGY FOUNDATION OF BKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN I HERMAN (CHIEF EXECUTIVE OFFICER)
(718) 857-3000
Entity
Organization
Contact information
Practice address
342 FLATBUSH AVE, BROOKLYN, NY 11238-4902
(718) 857-3000
(718) 857-6403
Mailing address
342 FLATBUSH AVE, BROOKLYN, NY 11238-4902
(718) 857-3000
(718) 857-6403
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7001249R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457658
—
NY
Enumeration date
10/28/2005
Last updated
06/27/2008
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