Green Manor Dialysis Center LLC
NPI #1760836126 in East Greenbush, New York
Provider Information
- NPI Number
- 1760836126
- Entity Type
- Organization
- Organization Name
- Green Manor Dialysis Center LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 21, 2016
- Last Updated
- May 24, 2016
Practice Location
- Address
- 583 COLUMBIA TPKE
- City
- East Greenbush
- State
- New York
- ZIP Code
- 12061-1602
- Phone
- (518) 477-4370
Authorized Official
- Name
- EDWARD FOURNIER, RN,CNN
- Title
- DIRECTOR OF DIALYSIS SERVICES
- Phone
- (518) 828-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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