Basic Information
| Provider Information | |||||||||
| NPI: | 1912045394 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE NEPHROLOGY ASSOCIATES, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1561 LONG POND RD | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146264117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857231120 | ||||||||
| FaxNumber: | 5857231776 | ||||||||
| Practice Location | |||||||||
| Address1: | 1561 LONG POND RD | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146264117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857231120 | ||||||||
| FaxNumber: | 5857231776 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2007 | ||||||||
| LastUpdateDate: | 09/02/2010 | ||||||||
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| AuthorizedOfficialLastName: | JAIN | ||||||||
| AuthorizedOfficialFirstName: | VIJAY | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATIVE PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 5857231120 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.