Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1659773067 Active

Practice location

3525 White Plains Rd, Ste B
Bronx, NY 10467-5705

Call (718) 547-4562 Map

Fax (718) 231-2350

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

Knickerbocker Dialysis IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Bronx, NY NPI 1528464179

Other end-stage renal disease (esrd) treatment clinic/center providers in Bronx

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NPI record

NPI: 1659773067
Entity type: Organization (Type 2)
Issued: Sep 17, 2014
Last updated: Nov 13, 2025
Status: Active

Other names

<unavail>
Williamsbridge Dialysis Center · doing business as
Williamsbridge Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

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About NPI 1659773067

Knickerbocker Dialysis Inc's National Provider Identifier is 1659773067, issued on Sep 17, 2014. 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 Nov 13, 2025.