Organization · Type 2 NPI

Empire State DC Inc

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

NPI number 1366478919 Active

Practice location

1305 Utica Ave
Brooklyn, NY 11203-5911

Call (718) 629-3900 Map

Fax (718) 629-6315

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...

Another provider at this address

Davita of New York IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Brooklyn, NY NPI 1073778379

Other end-stage renal disease (esrd) treatment clinic/center providers in Brooklyn

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NPI record

NPI: 1366478919
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: Jul 10, 2026
Status: Active

Other names

<unavail>
Utica Avenue Dialysis Center · doing business as
Utica Avenue Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

Verify this record

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 1366478919

Empire State DC Inc's National Provider Identifier is 1366478919, issued on Jun 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 10, 2026.