Knickerbocker Dialysis INC

NPI #1154856029 in Woodbury, New York

Provider Information

NPI Number
1154856029
Entity Type
Organization
Organization Name
Knickerbocker Dialysis INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 27, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
113 CROSSWAYS PARK DR
Address 2
SUITE 102
ZIP Code
11797-2044
Phone
(516) 921-0914

Authorized Official

Name
JAMES K HILGER
Title
CHIEF ACCOUNTING OFFICER
Phone
(615) 320-4414

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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