institution
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Deer Park, New York
NPI 1386205714

Knickerbocker Dialysis Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Knickerbocker Dialysis Inc practices in Deer Park, NY. The NPI Number for Knickerbocker Dialysis Inc is 1386205714 and holds a License No. (New York).

The current practice location address for Knickerbocker Dialysis Inc is 860 Grand Blvd, Deer Park, NY and can be reached out via phone at 631-243-7770 and via fax at 631-243-7775.

Location: 860 Grand Blvd, Deer Park, NY, 37027-7569
institution
Provider Profile Details
NPI Number
1386205714
Provider Name
Knickerbocker Dialysis Inc
Credential
Provider Entity Type
Organization
Address
860 Grand Blvd, Deer Park, NY, 37027-7569
Phone Number
631-243-7770
Fax Number
631-243-7775
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06222173 05 NY
institution
Provider Business Practice Location Address Details
Address
860 Grand Blvd
City
State
Zip
11729-5706
Phone Number
631-243-7770
Fax Number
631-243-7775
person
Provider Business Mailing Address Details
Address
860 Grand Blvd
City
State
Zip
11729-5706
Phone Number
631-243-7770
Fax Number
631-243-7775
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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