PREMIUM MEDICAL OF NYPC NPI 1972869675

NPI Information

NPI: 1972869675
Provider Name: PREMIUM MEDICAL OF NY,PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
14709 ELM AVE
SUITE B1
FLUSHING, NY
ZIP 11355
Phone: (718) 445-1223
Get Directions

PREMIUM MEDICAL OF NY,PC is a nephrology internal medicine in Flushing, 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. PREMIUM MEDICAL OF NY,PC NPI is 1972869675. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14709 ELM AVE
SUITE B1
FLUSHING, NY
ZIP 11355-705
Phone: (718) 445-1223
Fax: (718) 445-1539

The provider's authorized official is Christopher Georgiou .
The authorized official title is President and has the following contact phone number (718) 445-1223.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 4/6/2012.

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
1	207R00000X	Internal Medicine		193788	NEW YORK	No
2	207RN0300X	Internal Medicine	Nephrology	193788	NEW YORK	Yes

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

NPI Synchronization or Removal

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