Knickerbocker Dialysis INC

NPI #1982088449 in Corning, New York

Provider Information

NPI Number: 1982088449
Entity Type: Organization
Organization Name: Knickerbocker Dialysis INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 15, 2015
Last Updated: Dec 4, 2024

Practice Location

Address: 8 W PULTENEY ST
Address 2: STE 101
City: Corning
State: New York
ZIP Code: 14830-2274
Phone: (607) 962-2790

Authorized Official

Name: SAMUEL WEY
Title: ASSISTANT SECRETARY
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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