Organization
NEW YORK RENAL PHYSICIANS IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODUMUTT GANESH BHAT MD (CO-PRINCIPAL)
(718) 483-7428
Entity
Organization
Contact information
Practice address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 483-7428
Mailing address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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