Davita of New York INC

NPI #1982869285 in Syosset, New York

Provider Information

NPI Number: 1982869285
Entity Type: Organization
Organization Name: Davita of New York INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 1 LOCUST LN
City: Syosset
State: New York
ZIP Code: 11791-4834
Phone: (516) 364-5100

Authorized Official

Name: JIM HILGER
Title: VICE PRESIDENT
Phone: (253) 382-1919

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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