Organization · Type 2 NPI
West Nassau Dialysis Center, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Valley Stream, NY
NPI number
1396744165
Active
Practice location
75 Rockaway Ave
Valley Stream, NY 11580-5808
Fax (516) 823-4445
Mailing address
2314 College Point Blvd
College Point, NY 11356-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 2910200R (NY) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1396744165
West Nassau Dialysis Center, Inc's National Provider Identifier is 1396744165, issued on Jul 14, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Valley Stream, NY. The record was last updated on Mar 4, 2015.