Provider Demographics
NPI:1356924500
Name:NORTHEAST RHEUMATOLOGY INFUSIONS PC
Entity type:Organization
Organization Name:NORTHEAST RHEUMATOLOGY INFUSIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAIFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-424-2663
Mailing Address - Street 1:15 SMITH PLACE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596
Mailing Address - Country:US
Mailing Address - Phone:718-424-2663
Mailing Address - Fax:929-328-0545
Practice Address - Street 1:85-49 ELIOT AVENUE
Practice Address - Street 2:SUITE G
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-424-2663
Practice Address - Fax:929-328-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty