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Empire State Dc Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ithaca, New York
NPI 1851327902

Empire State Dc 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. Empire State Dc Inc practices in Ithaca, NY. The NPI Number for Empire State Dc Inc is 1851327902 and holds a License No. (New York).

The current practice location address for Empire State Dc Inc is 201 Dates Dr, Ithaca, NY and can be reached out via phone at 607-272-1693 and via fax at 607-273-5580.

Location: 201 Dates Dr, Ithaca, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851327902
Provider Name
Empire State Dc Inc
Credential
Provider Entity Type
Organization
Address
201 Dates Dr, Ithaca, NY, 37027-7569
Phone Number
607-272-1693
Fax Number
607-273-5580
Provider Enumeration Date
06/23/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01909677 05 NY
institution
Provider Business Practice Location Address Details
Address
201 Dates Dr
City
Ithaca
State
New York
Zip
14850-1345
Phone Number
607-272-1693
Fax Number
607-273-5580
person
Provider Business Mailing Address Details
Address
201 Dates Dr
City
Ithaca
State
New York
Zip
14850-1345
Phone Number
607-272-1693
Fax Number
607-273-5580
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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