Organization · Type 2 NPI
Main Street Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Freeport, NY
NPI number
1306203609
Active
Practice location
3 N Main St
Freeport, NY 11520-2218
Mailing address
PO Box 037216
Elmont, NY 11003-7216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 052083-B (NY) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Freeport
About NPI 1306203609
Main Street Dialysis Center LLC's National Provider Identifier is 1306203609, issued on Jan 19, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Freeport, NY. The record was last updated on May 4, 2023.