Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Little Neck, NY
NPI number
1174018329
Active
Practice location
25217 Northern Blvd
Little Neck, NY 11362-1355
Fax (718) 292-3593
Mailing address
5200 Virginia Way, L And 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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Little Neck
About NPI 1174018329
Knickerbocker Dialysis Inc's National Provider Identifier is 1174018329, issued on Jun 28, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Little Neck, NY. The record was last updated on Jun 28, 2018.