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Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tonawanda, New York
NPI 1902142607

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 Tonawanda, NY. The NPI Number for Knickerbocker Dialysis Inc is 1902142607 and holds a License No. (New York).

The current practice location address for Knickerbocker Dialysis Inc is 4041 Delaware Ave, Tonawanda, NY and can be reached out via phone at 716-871-8103 and via fax at 716-871-8107.

Location: 4041 Delaware Ave, Tonawanda, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902142607
Provider Name
Knickerbocker Dialysis Inc
Credential
Provider Entity Type
Organization
Address
4041 Delaware Ave, Tonawanda, NY, 37027-7569
Phone Number
716-871-8103
Fax Number
716-871-8107
Provider Enumeration Date
12/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03010079 05 NY
institution
Provider Business Practice Location Address Details
Address
4041 Delaware Ave
City
Tonawanda
State
New York
Zip
14150-6828
Phone Number
716-871-8103
Fax Number
716-871-8107
person
Provider Business Mailing Address Details
Address
4041 Delaware Ave
City
Tonawanda
State
New York
Zip
14150-6828
Phone Number
716-871-8103
Fax Number
716-871-8107
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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