Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1891721940 Active

Practice location

1109 Rosedale Ave
Bronx, NY 10472-4657

Call (347) 769-7294 Map

Fax (347) 812-0696

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

Anna Avanzato, RD, CDNRegistered Dietitian Bronx, NY NPI 1750176731

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

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NPI record

NPI: 1891721940
Entity type: Organization (Type 2)
Issued: Jun 23, 2006
Last updated: Jun 8, 2026
Status: Active

Other names

<unavail>
Soundview Dialysis Center · doing business as
Soundview Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

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 1891721940

Knickerbocker Dialysis Inc's National Provider Identifier is 1891721940, issued on Jun 23, 2006. 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 Jun 8, 2026.