Organization · Type 2 NPI

Knickerbocker Dialysis Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Buffalo, NY

NPI number 1639609787 Active

Practice location

520 Ellicott St, Ste 100
Buffalo, NY 14203-1550

Call (716) 845-5101 Map

Fax (716) 845-5106

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	7000272R (NY)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1639609787
Entity type: Organization (Type 2)
Issued: Jun 12, 2017
Last updated: Apr 14, 2021
Status: Active

Other names

<unavail>
Buffalo Downtown Dialysis · doing business as
Buffalo Downtown Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1639609787

Knickerbocker Dialysis Inc's National Provider Identifier is 1639609787, issued on Jun 12, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Buffalo, NY. The record was last updated on Apr 14, 2021.