Organization · Type 2 NPI
Main Street Kidney Group
Nephrology Physician · Freeport, NY
NPI number
1992383319
Active
Practice location
3 N Main St
Freeport, NY 11520-2218
Mailing address
PO Box 37216
Elmont, NY 11003-7216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | None listed |
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.
2 other providers at this address
About NPI 1992383319
Main Street Kidney Group's National Provider Identifier is 1992383319, issued on Mar 29, 2021. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Freeport, NY. The record was last updated on Mar 29, 2021.