Organization
MEDICAL DIAGNOSTIC NEPHROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN B AFARI M.D. (PRESIDENT)
(718) 231-7800
Entity
Organization
Contact information
Practice address
2409 BARKER AVE, BRONX, NY 10467-7601
(718) 231-7800
(718) 231-7850
Mailing address
2409 BARKER AVE, BRONX, NY 10467-7601
(718) 231-7800
(718) 231-7850
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
206326
NY
Other
Enumeration date
03/20/2008
Last updated
10/15/2012
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