Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1295189090 Active

Practice location

459 E 149th St
Bronx, NY 10455-1314

Fax (718) 292-9823

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 261QE0700X7000272R (NY)

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

10 other providers at this address

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About NPI 1295189090

Knickerbocker Dialysis Inc's National Provider Identifier is 1295189090, issued on Apr 18, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bronx, NY. The record was last updated on Aug 13, 2026.