SOUTH QUEENS NEPHROLOGY ASSO NPI 1003809245

NPI Information

  • NPI: 1003809245
  • Provider Name: SOUTH QUEENS NEPHROLOGY ASSO
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 34-35 70TH STREET
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Phone: (718) 651-9700

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NPI Details

SOUTH QUEENS NEPHROLOGY ASSO is a nephrology internal medicine in Jackson Heights, NY. The provider is 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. SOUTH QUEENS NEPHROLOGY ASSO NPI is 1003809245. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34-35 70TH STREET
JACKSON HEIGHTS, NY
ZIP 11372
Phone: (718) 651-9700
Fax: (718) 533-0264

The provider's authorized official is Evelyn Ruzol Amarga .
The authorized official title is Nephrology and has the following contact phone number (718) 651-9700.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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