Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1376588038 Active

Practice location

575 Yonkers Ave
Yonkers, NY 10704-2601

Call (914) 377-2370 Map

Fax (914) 377-2970

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

Devika KhanSocial Worker Yonkers, NY NPI 1659988244

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

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NPI record

NPI: 1376588038
Entity type: Organization (Type 2)
Issued: Jun 18, 2006
Last updated: Dec 19, 2025
Status: Active

Other names

<unavail>
Yonkers Dialysis Center · doing business as
Yonkers Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(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 1376588038

Knickerbocker Dialysis Inc's National Provider Identifier is 1376588038, issued on Jun 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Yonkers, NY. The record was last updated on Dec 19, 2025.