Knickerbocker Dialysis INC
NPI #1205461639 in Middle Island, New York
Provider Information
- NPI Number
- 1205461639
- Entity Type
- Organization
- Organization Name
- Knickerbocker Dialysis INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAVITA INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 5, 2020
- Last Updated
- Mar 5, 2020
Practice Location
- Address
- 1277 MIDDLE COUNTRY RD
- City
- Middle Island
- State
- New York
- ZIP Code
- 11953
- Phone
- (631) 205-0132
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (615) 320-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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