Organization · Type 2 NPI

Tidal Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brooklyn, NY

NPI number 1033093356 Active

Practice location

342 Himrod St
Brooklyn, NY 11237-4704

Fax (718) 417-1526

Mailing address

385 Seneca Ave
Ridgewood, NY 11385-1340

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1033093356

Tidal Dialysis LLC's National Provider Identifier is 1033093356, issued on Jul 31, 2025. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 18, 2026.