Organization · Type 2 NPI

Knickerbocker Dialysis Inc

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

NPI number 1962957993 Active

Practice location

2331 Eastchester Rd
Bronx, NY 10469-5910

Call (718) 547-0612 Map

Fax (718) 653-0294

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

Darya YeruslanovOther Specialist/Technologist Bronx, NY NPI 1194390575

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

See all in Bronx →

NPI record

NPI: 1962957993
Entity type: Organization (Type 2)
Issued: Aug 19, 2016
Last updated: Oct 9, 2024
Status: Active

Other names

<unavail>
Hutchinson River Dialysis · doing business as
Hutchinson River Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(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.

Is this your record? How to update it.

About NPI 1962957993

Knickerbocker Dialysis Inc's National Provider Identifier is 1962957993, issued on Aug 19, 2016. 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 Oct 9, 2024.