Provider Demographics
NPI:1215046214
Name:YONKERS NEPHROLOGY, P.C.
Entity Type:Organization
Organization Name:YONKERS NEPHROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAVONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-761-8287
Mailing Address - Street 1:1730 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 3P
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-4905
Mailing Address - Country:US
Mailing Address - Phone:914-779-0141
Mailing Address - Fax:914-779-0144
Practice Address - Street 1:1730 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 3P
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-4905
Practice Address - Country:US
Practice Address - Phone:914-779-0141
Practice Address - Fax:914-779-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty