Knickerbocker Dialysis INC

NPI #1942839378 in Patchogue, New York

Provider Information

NPI Number
1942839378
Entity Type
Organization
Organization Name
Knickerbocker Dialysis INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 7, 2020
Last Updated
Apr 21, 2025

Practice Location

Address
479 E MAIN ST
ZIP Code
11772-3147
Phone
(631) 447-2401

Authorized Official

Name
SAMUEL WEY
Title
ASSISTANT SECRETARY
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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