Organization · Type 2 NPI

Nyu Langone Hospitals

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

NPI number 1760480628 Active

Practice location

530 Hicksville Road
Bethpage, NY 11714-3415

Call (516) 663-4985 Map

Fax (516) 663-4979

Mailing address

200 Old Country Road
Mineola, NY 11501-4235

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	2908000H (NY)

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

NPI record

NPI: 1760480628
Entity type: Organization (Type 2)
Issued: Jul 13, 2005
Last updated: Mar 30, 2026
Status: Active
Subpart: Yes of Nyu Langone Hospitals

Other names

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Nyu Langone Hospital Long Island · doing business as

Authorized official

Palmira Cataliotti
SVP & CFO
(516) 663-2311

Verify this record

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 1760480628

Nyu Langone Hospitals's National Provider Identifier is 1760480628, issued on Jul 13, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bethpage, NY. The record was last updated on Mar 30, 2026.