Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1083650477 Active

Practice location

26 Brighton 11th St
Brooklyn, NY 11235-5304

Call (718) 743-5955 Map

Fax (718) 743-5939

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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NPI record

NPI: 1083650477
Entity type: Organization (Type 2)
Issued: Jun 22, 2006
Last updated: Dec 19, 2025
Status: Active

Other names

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Sheepshead Bay Renal Care Center · doing business as
Sheepshead Bay Renal Care Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

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About NPI 1083650477

Knickerbocker Dialysis Inc's National Provider Identifier is 1083650477, issued on Jun 22, 2006. 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 Dec 19, 2025.