Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1770528432 Active

Practice location

22202 Hempstead Ave, Ste 170
Queens Village, NY 11429-2123

Call (718) 217-6200 Map

Fax (718) 217-4191

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...

Another provider at this address

Lionel Barrau M.d. & Marc J. Yunis M.d.Nephrology Physician Queens Village, NY NPI 1013059930

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

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NPI record

NPI: 1770528432
Entity type: Organization (Type 2)
Issued: Jun 18, 2006
Last updated: Jul 16, 2025
Status: Active

Other names

<unavail>
Queens Village Dialysis Center · doing business as
Queens Village Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(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 1770528432

Knickerbocker Dialysis Inc's National Provider Identifier is 1770528432, issued on Jun 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Queens Village, NY. The record was last updated on Jul 16, 2025.