Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bronx, NY
NPI number
1063932945
Active
Practice location
3440 Boston Rd
Bronx, NY 10469-2512
Fax (718) 652-2495
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 1063932945
Knickerbocker Dialysis Inc's National Provider Identifier is 1063932945, issued on Jun 22, 2017. 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 Nov 1, 2024.