Queens Replacement Llc in Kew Gardens - End-stage Renal Disease (esrd) Treatment

Queens Replacement Llc - NPI 1548251218

Queens Replacement Llc is a End-stage Renal Disease (esrd) Treatment in Kew Gardens, New York. Queens Replacement Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Queens Replacement Llc is 1548251218. The last update date is 2013-09-30.

Queens Replacement Llc's current location address is 12046 Queens Blvd, Kew Gardens, New York. You can contact this provider via phone number 7187933341 and fax number 7182681666. The mailing address for Queens Replacement Llc is 12046 Queens Blvd, Kew Gardens, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Queens Replacement Llc
Address 12046 Queens Blvd, Kew Gardens, New York
Phone Number 7187933341
Fax Number 7182681666
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Licciardi Dominic
Telephone Number 7189875942

NPI Number Detail

NPI Number 1548251218
Provider Enumeration Date 2005-11-02
Last Updated Date 2013-09-30

Provider Mailing Address Detail

Address 12046 Queens Blvd
City Kew Gardens
State New York (NY)
Post Code 114151204
Phone Number 7187933341
Fax Number 7182681666

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 7003264R
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2718005 NY --

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FAQs about Queens Replacement Llc

What is the unique provider identifier assigned to Queens Replacement Llc?

The Queens Replacement Llc has been issued the NPI (National Provider Identifier) 1548251218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Queens Replacement Llc?

The Queens Replacement Llc is physically situated at 12046 Queens Blvd, in the city of Kew Gardens, state of NY, with the postal code 114151204.

What is Queens Replacement Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Queens Replacement Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

When did Queens Replacement Llc receive its 1548251218 assignment?

The Queens Replacement Llc was assigned its 1548251218 on 2005-11-02, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Queens Replacement Llc most recently updated or revised?

The information pertaining to Queens Replacement Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-30.

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