Organization
BROOKLYN NEPHROLOGY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELENE O WILSON (OFFICE ADMINISTRATOR)
(718) 783-6891
Entity
Organization
Contact information
Practice address
184 STERLING PL, BROOKLYN, NY 11217-3307
(718) 783-6860
(718) 783-6861
Mailing address
184 STERLING PL, BROOKLYN, NY 11217-3307
(718) 783-6860
(718) 783-6861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00504265
—
NY
Enumeration date
07/30/2006
Last updated
08/22/2020
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