MAIN STREET KIDNEY GROUP

FREEPORT, NY
NPI1992383319
Entity TypeOrganization
Authorized ContactIHEANYICHUKWU AJA-ONU
CEO
516-623-5076
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2021-03-29
Last Update Date2021-03-29
Business Address
MAIN STREET KIDNEY GROUP
3 N MAIN ST
FREEPORT, NY 11520-2218
Phone number: 516-623-5076
Mailing Address
MAIN STREET KIDNEY GROUP
PO BOX 37216
ELMONT, NY 11003-7216
Phone number: 516-623-5076
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