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Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Washington, New York
NPI 1902841513

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 Port Washington, NY. The NPI Number for Knickerbocker Dialysis Inc is 1902841513 and holds a License No. (New York).

The current practice location address for Knickerbocker Dialysis Inc is 50 Seaview Blvd, Port Washington, NY and can be reached out via phone at 516-484-3460 and via fax at 516-484-7949.

Location: 50 Seaview Blvd, Port Washington, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902841513
Provider Name
Knickerbocker Dialysis Inc
Credential
Provider Entity Type
Organization
Address
50 Seaview Blvd, Port Washington, NY, 37027-7569
Phone Number
516-484-3460
Fax Number
516-484-7949
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03049052 05 NY
institution
Provider Business Practice Location Address Details
Address
50 Seaview Blvd
City
Port Washington
State
New York
Zip
11050-4618
Phone Number
516-484-3460
Fax Number
516-484-7949
person
Provider Business Mailing Address Details
Address
50 Seaview Blvd
City
Port Washington
State
New York
Zip
11050-4618
Phone Number
516-484-3460
Fax Number
516-484-7949
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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