Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Queens Nassau Nephrology Services PLLC

Organization Nephrology Physician · NPI 1770988909

Queens Nassau Nephrology Services PLLC is a Nephrology Physician in Mineola, New York. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 Old Country Road 111
Mineola, NY 11501-4112
Phone: (516) 745-0500
Fax: (516) 745-1534
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1770988909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Goncharuck — President · (516) 745-0500
NPI enumeratedOctober 30, 2014
Last updated in NPPESOctober 30, 2014
Mailing address300 Old Country Road, 111, Mineola, NY 11501-4112

Other providers in Mineola