Organization · Type 2 NPI
Liberty RC Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bronx, NY
NPI number
1043377922
Active
Practice location
1515 Jarrett Pl
Bronx, NY 10461-2606
Fax (718) 822-3083
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1043377922
Liberty RC Inc's National Provider Identifier is 1043377922, issued on Jan 2, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 9, 2020.