Knickerbocker Dialysis INC

NPI #1679192876 in Ridgewood, New York

Provider Information

NPI Number
1679192876
Entity Type
Organization
Organization Name
Knickerbocker Dialysis INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 9, 2020
Last Updated
Jan 10, 2024

Practice Location

Address
1734 HANCOCK ST
ZIP Code
11385-4734
Phone
(929) 290-1267

Authorized Official

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

Specialties & Taxonomy Codes

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

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