Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mount Vernon, NY
NPI number
1508366386
Active
Practice location
120 E Sandford Blvd
Mount Vernon, NY 10550-4512
Fax (914) 667-5126
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 1508366386
Knickerbocker Dialysis Inc's National Provider Identifier is 1508366386, issued on Feb 18, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mount Vernon, NY. The record was last updated on May 29, 2026.