Provider Demographics
NPI:1679198162
Name:PALM BEACH NEPHROLOGY CARE PLLC
Entity Type:Organization
Organization Name:PALM BEACH NEPHROLOGY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-209-9990
Mailing Address - Street 1:5707 LAKEVIEW MEWS DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1517
Mailing Address - Country:US
Mailing Address - Phone:917-209-9990
Mailing Address - Fax:718-228-2680
Practice Address - Street 1:1210 S OLD DIXIE HWY
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7205
Practice Address - Country:US
Practice Address - Phone:917-209-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty