Somatus Empire State Ipa, LLC

NPI #1184358210 in Bohemia, New York

Provider Information

NPI Number
1184358210
Entity Type
Organization
Organization Name
Somatus Empire State Ipa, LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Jul 14, 2022
Last Updated
Jul 14, 2022

Practice Location

Address
80 ORVILLE DR STE 100
ZIP Code
11716-2505
Phone
(571) 992-0600

Authorized Official

Name
ALICIA J PALMER
Title
AUTHORIZED OFFICIAL
Phone
(202) 236-7061

Specialties & Taxonomy Codes

Specialty
Case Management
Internal Medicine - NephrologyNephrology

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