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Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ozone Park, New York
NPI 1396285045

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 Ozone Park, NY. The NPI Number for Knickerbocker Dialysis Inc is 1396285045 and holds a License No. (New York).

The current practice location address for Knickerbocker Dialysis Inc is 100-02 Rockaway Blvd, Ozone Park, NY and can be reached out via phone at 718-843-0694 and via fax at 718-323-2438.

Location: 100-02 Rockaway Blvd, Ozone Park, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396285045
Provider Name
Knickerbocker Dialysis Inc
Credential
Provider Entity Type
Organization
Address
100-02 Rockaway Blvd, Ozone Park, NY, 37027-7569
Phone Number
718-843-0694
Fax Number
718-323-2438
Provider Enumeration Date
02/28/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
05400959 05 NY
institution
Provider Business Practice Location Address Details
Address
100-02 Rockaway Blvd
City
Ozone Park
State
New York
Zip
11417-2217
Phone Number
718-843-0694
Fax Number
718-323-2438
person
Provider Business Mailing Address Details
Address
100-02 Rockaway Blvd
City
Ozone Park
State
New York
Zip
11417-2217
Phone Number
718-843-0694
Fax Number
718-323-2438
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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