Provider Demographics
NPI:1922276732
Name:KINGS RENAL SERVICES, PC
Entity Type:Organization
Organization Name:KINGS RENAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:LIPNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-648-0101
Mailing Address - Street 1:3915 AVENUE V
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5156
Mailing Address - Country:US
Mailing Address - Phone:718-252-8440
Mailing Address - Fax:718-621-3133
Practice Address - Street 1:1435 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3403
Practice Address - Country:US
Practice Address - Phone:718-648-0101
Practice Address - Fax:718-621-3133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty