Provider Demographics
NPI:1902373863
Name:NEW YORK KIDNEY PHYSICIANS
Entity Type:Organization
Organization Name:NEW YORK KIDNEY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DHARMESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-360-4253
Mailing Address - Street 1:3435 70TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1055
Mailing Address - Country:US
Mailing Address - Phone:347-460-4253
Mailing Address - Fax:718-355-9650
Practice Address - Street 1:3435 70TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1055
Practice Address - Country:US
Practice Address - Phone:347-460-4253
Practice Address - Fax:718-355-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty