Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Orchard Park, NY
NPI number
1124364864
Active
Practice location
3801 Taylor Rd
Orchard Park, NY 14127-2232
Fax (716) 209-7206
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...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Orchard Park
About NPI 1124364864
Knickerbocker Dialysis Inc's National Provider Identifier is 1124364864, issued on Dec 28, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Orchard Park, NY. The record was last updated on Mar 24, 2026.