IndividualActive
Andrey Goncharuk, M.D.
NPI 1356349922 · Nephrology Physician · Mineola, NY
Provider details
- NPI number
- 1356349922
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 199896 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Old Country Rd
Suite 111
Mineola, NY 11501-4198
Phone: (516) 745-0500
Fax: (516) 745-1534
Approximate (ZIP-level) locationGet directions
Mailing address
300 Old Country Rd
Mineola, NY 11501-4198
Registry dates
- Enumerated
- 2005-07-08
- Last updated
- 2012-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.