Organization · Type 2 NPI
Knickerbocker Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bayside, NY
NPI number
1710404108
Active
Practice location
45-60 Francis Lewis Blvd
Bayside, NY 11361-3047
Fax (718) 631-6710
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Bayside
About NPI 1710404108
Knickerbocker Dialysis Inc's National Provider Identifier is 1710404108, issued on Aug 25, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bayside, NY. The record was last updated on Mar 18, 2026.