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NPI Provider: 1508866492
Contact Name: ILAMATHI EKAMBARAM
Position: PRESIDENT
Phone: (631) 689-7800
Suffolk Nephrology Consultants Pc Information:
Suffolk Nephrology Consultants Pc organization have npi 1508866492, taxonomy code is 207RN0300X with license number is in . This Business address located in 2500 Route 347, Stony Brook, NY 11790 New York.
Practice Location
Address: 2500 Route 347, Stony Brook, NY 11790
Phone: (631) 689-7000
Business Location
Address: 2500 Route 347, Stony Brook, NY 11790
Phone: (631) 689-7000
Fax: (631) 689-3016
Taxonomy
Taxonomy Code: 207RN0300X
License Number:
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 7/21/2005
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