Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1306404926 Active

Practice location

203 W Route 59
Nanuet, NY 10954-2218

Call (845) 501-7590 Map

Fax (845) 501-7585

Mailing address

5200 Virginia Way, L&c Dept
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...

NPI record

NPI: 1306404926
Entity type: Organization (Type 2)
Issued: May 29, 2019
Last updated: May 7, 2024
Status: Active

Other names

<unavail>
Rockland County Dialysis · doing business as
Rockland County Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306404926

Knickerbocker Dialysis Inc's National Provider Identifier is 1306404926, issued on May 29, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Nanuet, NY. The record was last updated on May 7, 2024.