institution
Elizabethtown Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elizabethtown, New York
NPI 1053742569

Elizabethtown Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Elizabethtown, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Elizabethtown Center Llc practices in Elizabethtown, NY. The NPI Number for Elizabethtown Center Llc is 1053742569 and holds a License No. (New York).

The current practice location address for Elizabethtown Center Llc is 75 Park St, Elizabethtown, NY and can be reached out via phone at 518-873-2162 and via fax at 518-873-2144.

Location: 75 Park St, Elizabethtown, NY, 12932-0277
institution
Provider Profile Details
NPI Number
1053742569
Provider Name
Elizabethtown Center Llc
Credential
Provider Entity Type
Organization
Address
75 Park St, Elizabethtown, NY, 12932-0277
Phone Number
518-873-2162
Fax Number
518-873-2144
Provider Enumeration Date
12/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03937280 05 NY
institution
Provider Business Practice Location Address Details
Address
75 Park St
City
State
Zip
12932-2300
Phone Number
518-873-2162
Fax Number
518-873-2144
person
Provider Business Mailing Address Details
Address
75 Park St
City
State
Zip
12932-2300
Phone Number
518-873-2162
Fax Number
518-873-2144
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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