Main Street Kidney Group
NPI #1992383319 in Freeport, New York
Provider Information
- NPI Number
- 1992383319
- Entity Type
- Organization
- Organization Name
- Main Street Kidney Group
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Mar 29, 2021
- Last Updated
- Mar 29, 2021
Practice Location
Authorized Official
- Name
- DR. IHEANYICHUKWU AJA-ONU, MD
- Title
- CEO
- Phone
- (516) 623-5076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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