Knickerbocker Dialysis INC
NPI #1063849115 in Middletown, New York
Provider Information
- NPI Number
- 1063849115
- Entity Type
- Organization
- Organization Name
- Knickerbocker Dialysis INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 3, 2013
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 100 CRYSTAL RUN RD
- Address 2
- STE 102
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-4042
- Phone
- (845) 692-8220
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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