Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ozone Park, NY
NPI number
1396285045
Active
Practice location
100-02 Rockaway Blvd
Ozone Park, NY 11417-2217
Fax (718) 323-2438
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...
About NPI 1396285045
Knickerbocker Dialysis Inc's National Provider Identifier is 1396285045, issued on Feb 28, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ozone Park, NY. The record was last updated on Aug 13, 2026.