Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1932135571 Active

Practice location

1940 Webster Ave, Ste 100
Bronx, NY 10457-4261

Call (718) 299-9212 Map

Fax (718) 583-7335

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...

2 other providers at this address

Liberty RC IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Bronx, NY NPI 1326498205
Eduardo Del OrbeNephrology Physician Bronx, NY NPI 1467851550

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

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NPI record

NPI: 1932135571
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: Feb 18, 2025
Status: Active

Other names

<unavail>
South Bronx Dialysis Center · doing business as
South Bronx 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 1932135571

Knickerbocker Dialysis Inc's National Provider Identifier is 1932135571, issued on Jun 24, 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 Feb 18, 2025.