Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1700227287 Active

Practice location

1733 Eastchester Rd
Bronx, NY 10461-2315

Call (718) 822-1968 Map

Fax (718) 822-6030

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...

3 other providers at this address

Advanced Access Medical Care, PLLCInternal Medicine Physician Bronx, NY NPI 1689014987
Mermaid Medical & Diagnostics, P.c.Internal Medicine Physician Bronx, NY NPI 1194585513
Waters Place Medical Group PCNephrology Physician Bronx, NY NPI 1497186456

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

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NPI record

NPI: 1700227287
Entity type: Organization (Type 2)
Issued: Jul 11, 2013
Last updated: May 15, 2024
Status: Active

Other names

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Waters Place Dialysis Center · doing business as
Waters Place Dialysis Center · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700227287

Knickerbocker Dialysis Inc's National Provider Identifier is 1700227287, issued on Jul 11, 2013. 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 May 15, 2024.