institution
Green Manor Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Greenbush, New York
NPI 1760836126

Green Manor Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in East Greenbush, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Green Manor Dialysis Center Llc practices in East Greenbush, NY. The NPI Number for Green Manor Dialysis Center Llc is 1760836126 and holds a License No. 1059202R (New York).

The current practice location address for Green Manor Dialysis Center Llc is 583 Columbia Tpke, East Greenbush, NY and can be reached out via phone at 518-477-4370 and via fax at 518-477-4319.

Location: 583 Columbia Tpke, East Greenbush, NY, 12061-1602
institution
Provider Profile Details
NPI Number
1760836126
Provider Name
Green Manor Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
583 Columbia Tpke, East Greenbush, NY, 12061-1602
Phone Number
518-477-4370
Fax Number
518-477-4319
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01687094 05 NY
institution
Provider Business Practice Location Address Details
Address
583 Columbia Tpke
City
State
Zip
12061-1602
Phone Number
518-477-4370
Fax Number
518-477-4319
person
Provider Business Mailing Address Details
Address
583 Columbia Tpke
City
State
Zip
12061-1602
Phone Number
518-477-4370
Fax Number
518-477-4319
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
1059202R (New York)
Definition
Definition to come...
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