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Organization

BRONX LEBANON NEPHROLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALPANA UDAY MD (MANAGER/PARTNER)
(718) 518-5232
Entity
Organization

Contact information

Practice address
1650 SELWYN AVE, 8-G, BRONX, NY 10457-7626
(718) 518-5232
(718) 518-5636
Mailing address
PO BOX 260, IRVINGTON, NY 10533-0260
(718) 518-5232
(718) 518-5636

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
255628
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00436677
NY
05
01404737
NY
05
02738810
NY
05
03347266
NY
01
1043263882
NPI
01
1144391251
NPI
01
1689833303
NPI
NY
Enumeration date
12/21/2006
Last updated
05/07/2012
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