Main Street Kidney Group
Main Street Kidney Group is a Nephrology Physician in Freeport, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3 N Main StFreeport, NY 11520-2218
Phone: (516) 623-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1992383319 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iheanyichukwu Aja-Onu — Ceo · (516) 623-5076 |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | March 29, 2021 |
| Certification date | March 29, 2021 |
| Mailing address | Po Box 37216, Elmont, NY 11003-7216 |
Other providers in Freeport
-
Dr. Alejandro Pepen Romero, MD
55 N Main St, Freeport, NY 11520-2243 · (163) 778-0145