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Organization

GOODKIDNEYS MEDICAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADEL S. EL-HENNAWY M.D. (OWNER)
(718) 966-4864
Entity
Organization

Contact information

Practice address
1467 ARDEN AVE, STATEN ISLAND, NY 10312-5407
(718) 966-4864
(718) 966-4863
Mailing address
1467 ARDEN AVE, STATEN ISLAND, NY 10312-5407
(718) 966-4864
(718) 966-4863

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
12/01/2006
Last updated
08/22/2020
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