Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · East Islip, NY
NPI number
1063895597
Active
Practice location
200 Carleton Ave
East Islip, NY 11730-1222
Fax (631) 224-3355
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...
4 other providers at this address
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- Christina CepedaMental Health Counselor East Islip, NY NPI 1992465405
- Kenzie CavaluzzoMental Health Counselor East Islip, NY NPI 1548061229
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About NPI 1063895597
Knickerbocker Dialysis Inc's National Provider Identifier is 1063895597, issued on Jul 1, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in East Islip, NY. The record was last updated on Jul 2, 2015.