Organization · Type 2 NPI

Knickerbocker Dialysis Inc.

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

NPI number 1194760702 Active

Practice location

2050 E Main St, Ste 15
Cortlandt Manor, NY 10567-2502

Fax (914) 788-9330

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

5 other providers at this address

About NPI 1194760702

Knickerbocker Dialysis Inc.'s National Provider Identifier is 1194760702, issued on Jun 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cortlandt Manor, NY. The record was last updated on Feb 18, 2026.