Organization
PREMIER RENAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN MA M.D. (PRESIDENT)
(718) 715-8674
Entity
Organization
Contact information
Practice address
128 MOTT ST, SUITE 405, NEW YORK, NY 10013-5540
(212) 966-0068
(212) 966-0072
Mailing address
7705 SHORE RD, BROOKLYN, NY 11209-2809
(718) 715-8674
(212) 966-0068
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
180042
NY
Other
Enumeration date
11/07/2006
Last updated
03/19/2013
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