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SOUTHERN WESTCHESTER NEPHROLOGY PLLC NPI 1033416342


NPI Information

NPI: 1033416342
Provider Name: SOUTHERN WESTCHESTER NEPHROLOGY PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 33D0861091

Address:
136 S BROADWAY
YONKERS, NY
ZIP 10701
Phone: (914) 965-0621
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SOUTHERN WESTCHESTER NEPHROLOGY PLLC is a nephrology internal medicine in Yonkers, 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. SOUTHERN WESTCHESTER NEPHROLOGY PLLC NPI is 1033416342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

136 S BROADWAY
YONKERS, NY
ZIP 10701-008
Phone: (914) 965-0621

The provider's authorized official is Dominick Frank Reda .
The authorized official title is Owner and has the following contact phone number (914) 965-0621.

The CLIA number assigned to this NPI record is 33D0861091 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 11/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology168949NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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