Long Island Renal Care INC
NPI #1447492079 in Amityville, New York
Provider Information
- NPI Number
- 1447492079
- Entity Type
- Organization
- Organization Name
- Long Island Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 27, 2009
- Last Updated
- Jan 27, 2010
Practice Location
- Address
- 3460 GREAT NECK RD
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1915
- Phone
- (631) 532-6969
Authorized Official
- Name
- DR. ANDREY GONCHARUK, M.D.
- Title
- PRESIDENT
- Phone
- (631) 532-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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