Elizabethtown Center LLC
NPI #1053742569 in Elizabethtown, New York
Provider Information
- NPI Number
- 1053742569
- Entity Type
- Organization
- Organization Name
- Elizabethtown Center LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 75 PARK ST
- City
- Elizabethtown
- State
- New York
- ZIP Code
- 12932-2300
- Phone
- (518) 873-2162
Authorized Official
- Name
- SARA ANNE BRADY
- Title
- CHIEF NURSING OFFICER
- Phone
- (208) 371-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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