Organization · Type 2 NPI

Island Rehabilitative Services Corp

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

NPI number 1669453502 Active

Practice location

25 Fanning St
Staten Island, NY 10314-5307

Fax (347) 671-8398

Mailing address

97 New Dorp Ln
Staten Island, NY 10306-2364

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X7004204R (NY)

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

9 other providers at this address

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About NPI 1669453502

Island Rehabilitative Services Corp's National Provider Identifier is 1669453502, issued on Nov 8, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Staten Island, NY. The record was last updated on Sep 28, 2011.