True North Dialysis Center LLC

NPI #1194323071 in Selden, New York

Provider Information

NPI Number: 1194323071
Entity Type: Organization
Organization Name: True North Dialysis Center LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Oct 13, 2020
Last Updated: Dec 29, 2023

Practice Location

Address: 668 MIDDLE COUNTRY RD
City: Selden
State: New York
ZIP Code: 11784-2521
Phone: (631) 698-3201

Authorized Official

Name: SAMUEL WEY
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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