Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1679517270 Active

Practice location

1366 Victory Blvd
Staten Island, NY 10301-3907

Call (718) 816-6200 Map

Fax (718) 816-6235

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1679517270

Knickerbocker Dialysis Inc's National Provider Identifier is 1679517270, issued on Jun 15, 2006. 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 Jun 1, 2026.