Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bronx, NY
NPI number
1407415243
Active
Practice location
931 Bruckner Blvd
Bronx, NY 10459-4525
Fax (718) 378-1423
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...
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About NPI 1407415243
Knickerbocker Dialysis Inc's National Provider Identifier is 1407415243, issued on Jun 6, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bronx, NY. The record was last updated on Apr 10, 2026.