Knickerbocker Dialysis INC
NPI #1457774002 in Amityville, New York
Provider Information
- NPI Number
- 1457774002
- Entity Type
- Organization
- Organization Name
- Knickerbocker Dialysis INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 31, 2014
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 3460 GREAT NECK RD
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1915
- Phone
- (631) 532-6969
Authorized Official
- Name
- SAMUEL WEY
- Title
- SR DIR, 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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