Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1043668825 Active

Practice location

8000 Cooper Ave
Glendale, NY 11385-7739

Call (718) 326-2789 Map

Fax (718) 416-4269

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...

2 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Glendale

Genesis Services, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Glendale, NY NPI 1962888560

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NPI record

NPI: 1043668825
Entity type: Organization (Type 2)
Issued: Jun 2, 2016
Last updated: Jan 29, 2024
Status: Active

Other names

<unavail>
Atlas Park Dialysis · doing business as
Atlas Park Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1043668825

Knickerbocker Dialysis Inc's National Provider Identifier is 1043668825, issued on Jun 2, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Glendale, NY. The record was last updated on Jan 29, 2024.