Organization · Type 2 NPI
Davita of New York Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, NY
NPI number
1265697692
Active
Practice location
1725 N Ocean Ave
Medford, NY 11763-2649
Fax (631) 289-8079
Mailing address
5200 Virginia Way, Ste 400 L&c
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 Medford
About NPI 1265697692
Davita of New York Inc's National Provider Identifier is 1265697692, issued on Jul 24, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Medford, NY. The record was last updated on Jul 24, 2008.