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Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jamaica, New York
NPI 1942792239

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 Jamaica, NY. The NPI Number for Knickerbocker Dialysis Inc is 1942792239 and holds a License No. (New York).

The current practice location address for Knickerbocker Dialysis Inc is 91-30 Van Wyck Expy, Jamaica, NY and can be reached out via phone at 718-558-4382 and via fax at 718-558-5650.

Location: 91-30 Van Wyck Expy, Jamaica, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942792239
Provider Name
Knickerbocker Dialysis Inc
Credential
Provider Entity Type
Organization
Address
91-30 Van Wyck Expy, Jamaica, NY, 37027-7569
Phone Number
718-558-4382
Fax Number
718-558-5650
Provider Enumeration Date
06/01/2018
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
06667761 05 NY
institution
Provider Business Practice Location Address Details
Address
91-30 Van Wyck Expy
City
Jamaica
State
New York
Zip
11418-2822
Phone Number
718-558-4382
Fax Number
718-558-5650
person
Provider Business Mailing Address Details
Address
91-30 Van Wyck Expy
City
Jamaica
State
New York
Zip
11418-2822
Phone Number
718-558-4382
Fax Number
718-558-5650
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.
()
Definition
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