Organization · Type 2 NPI

MMC Gottscho Children's Dialysis Center

Primary Care Clinic/Center · Claryville, NY

NPI number 1265626931 Active

Practice location

Mmc Gottscho Children's Dialysis Center, Frost Valley Ymca Summer Camp
Claryville, NY 12725-9600

Mailing address

Cmo, 100 Corporate Drive
Yonkers, NY 10701

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X7000006H (NY)

Primary Care Clinic/Center: Definition to come...

About NPI 1265626931

MMC Gottscho Children's Dialysis Center's National Provider Identifier is 1265626931, issued on Sep 5, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Claryville, NY. The record was last updated on Sep 5, 2007.