Queens Replacement Llc

  • 1548251218 NPI Number
  • |
  • Actived: 14 years ago
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According to our database, NPI number for Queens Replacement Llc is 1548251218 and actived since Wednesday, November 2 2005. Queens Replacement Llc is an Organization provider specializes in End-Stage Renal Disease (ESRD) Treatment. Provider information was last updated on 09/30/2013.

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Overview of Queens Replacement Llc

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: End-Stage Renal Disease (ESRD) Treatment
  • Active since: 11/02/2005
  • Last updated: 09/30/2013

Primary Scrop of Practice

  • Taxonomy Code: 261QE0700X
  • Specialty: End-Stage Renal Disease (ESRD) Treatment
  • License Number: 7003264R
  • License State: NY

Provider Mailing Address

  • Address: 97 New Dorp Ln
    Staten Island, NY 10306
  • Phone: 718-448-5641
  • Fax: 718-876-5969

Provider Practice Location

  • Address: 12046 Queens Blvd
    Kew Gardens, NY 11415
  • Phone: 718-793-3341
  • Fax: 718-268-1666

Authorized Official

  • Name: MR. Dominic Licciardi
  • Position/Title: Administrator
  • Telephone Number: 718-987-5942

Scope of Practice

  • Taxonomy Code: 261QE0700X
  • Specialty: End-Stage Renal Disease (ESRD) Treatment
  • License Number: 7003264R
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 02718005
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Queens Replacement Llc?
  • A: The npi number for Queens Replacement Llc is 1548251218.
  • Q: What are Queens Replacement Llc's specialties?
  • A: Queens Replacement Llc's specialties are End-Stage Renal Disease (ESRD) Treatment and different specialities.
  • Q: Where is Queens Replacement Llc business practice location?
  • A: Queens Replacement Llc business practice location is 12046 Queens Blvd, Kew Gardens, NY 11415.
  • Q: How to contact Queens Replacement Llc?
  • A: You can contact Queens Replacement Llc via 718-793-3341.
  • Q: What is the authorized official for Queens Replacement Llc?
  • A: The authorized office name is MR. Dominic Licciardi with position/title is Administrator and you can reach the authorized official via phone number 7189875942.