Knickerbocker Dialysis INC

NPI #1811933278 in Bronx, New York

Provider Information

NPI Number: 1811933278
Entity Type: Organization
Organization Name: Knickerbocker Dialysis INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jun 22, 2006
Last Updated: Jan 10, 2024

Practice Location

Address: 1615 EASTCHESTER RD
City: Bronx
State: New York
ZIP Code: 10461-2603
Phone: (718) 892-7700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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