Organization
NEW YORK RENAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. GANESH BHAT MD (PRESIDENT)
(718) 366-1111
Entity
Organization
Contact information
Practice address
3468 PARK AVE, BRONX, NY 10456-4307
(718) 401-2836
Mailing address
23-14 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(718) 401-2836
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01855807
—
NY
Enumeration date
06/14/2005
Last updated
03/04/2015
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