Knickerbocker Dialysis INC

NPI #1386205714 in Deer Park, New York

Provider Information

NPI Number
1386205714
Entity Type
Organization
Organization Name
Knickerbocker Dialysis INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 26, 2019
Last Updated
Jul 14, 2021

Practice Location

Address
860 GRAND BLVD
ZIP Code
11729-5706
Phone
(631) 243-7770

Authorized Official

Name
JOHN D WINSTEL
Title
CHIEF ACCOUNTING OFFICER
Phone
(253) 733-4501

Specialties & Taxonomy Codes

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

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