Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Amityville, NY
NPI number
1457774002
Active
Practice location
3460 Great Neck Rd
Amityville, NY 11701-1915
Fax (631) 532-6968
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
Other end-stage renal disease (esrd) treatment clinic/center providers in Amityville
About NPI 1457774002
Knickerbocker Dialysis Inc's National Provider Identifier is 1457774002, issued on Jan 31, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Amityville, NY. The record was last updated on Mar 24, 2026.