Knickerbocker Dialysis INC
NPI #1770528432 in Queens Village, New York
Provider Information
- NPI Number
- 1770528432
- Entity Type
- Organization
- Organization Name
- Knickerbocker Dialysis INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 16, 2025
Practice Location
- Address
- 22202 HEMPSTEAD AVE
- Address 2
- STE 170
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-2123
- Phone
- (718) 217-6200
Authorized Official
- Name
- SAMUEL WEY
- Title
- ASSISTANT SECRETARY
- 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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