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Queens Replacement Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kew Gardens, New York
NPI 1548251218

Queens Replacement Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Staten Island, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Queens Replacement Llc practices in Kew Gardens, NY. The NPI Number for Queens Replacement Llc is 1548251218 and holds a License No. 7003264R (New York).

The current practice location address for Queens Replacement Llc is 12046 Queens Blvd, Kew Gardens, NY and can be reached out via phone at 718-793-3341 and via fax at 718-268-1666.

Location: 12046 Queens Blvd, Kew Gardens, NY, 10306-2364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548251218
Provider Name
Queens Replacement Llc
Credential
Provider Entity Type
Organization
Address
12046 Queens Blvd, Kew Gardens, NY, 10306-2364
Phone Number
718-793-3341
Fax Number
718-268-1666
Provider Enumeration Date
11/02/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
02718005 05 NY
institution
Provider Business Practice Location Address Details
Address
12046 Queens Blvd
City
Kew Gardens
State
New York
Zip
11415-1204
Phone Number
718-793-3341
Fax Number
718-268-1666
person
Provider Business Mailing Address Details
Address
12046 Queens Blvd
City
Kew Gardens
State
New York
Zip
11415-1204
Phone Number
718-793-3341
Fax Number
718-268-1666
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
7003264R (New York)
Definition
Definition to come...
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