Knickerbocker Dialysis INC
NPI #1508366386 in Mount Vernon, New York
Provider Information
- NPI Number
- 1508366386
- Entity Type
- Organization
- Organization Name
- Knickerbocker Dialysis INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 18, 2018
- Last Updated
- Dec 28, 2023
Practice Location
- Address
- 120 E SANDFORD BLVD
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10550-4512
- Phone
- (914) 665-2035
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP 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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