Organization · Type 2 NPI

Premium Medical of Ny,pc

Nephrology Physician · Flushing, NY

NPI number 1972869675 Active

Practice location

14709 Elm Ave, Suite B1
Flushing, NY 11355-1705

Call (718) 445-1223 Map

Fax (718) 445-1539

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X193788 (NY)
Nephrology Physician Primary 207RN0300X193788 (NY)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1972869675

Premium Medical of Ny,pc's National Provider Identifier is 1972869675, issued on Apr 6, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Flushing, NY. The record was last updated on Apr 6, 2012.