Organization
MOHAWK VALLEY NEPHROLOGY ASSOCIATES, LLP
Active
Other names
Mohawk Valley Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE A LANE (BILLING MANAGER)
(315) 724-3880
Entity
Organization
Contact information
Practice address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Mailing address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5232
RAILROAD MEDICARE
NY
Enumeration date
07/16/2006
Last updated
09/06/2024
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