Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Monticello, NY
NPI number
1508802968
Active
Practice location
139 Forestburgh Rd
Monticello, NY 12701-2348
Fax (845) 796-3303
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...
2 other providers at this address
About NPI 1508802968
Knickerbocker Dialysis Inc's National Provider Identifier is 1508802968, issued on Jun 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Monticello, NY. The record was last updated on Mar 12, 2026.