South Queens Dialysis Center in Jamaica - End-stage Renal Disease (esrd) Treatment
South Queens Dialysis Center - NPI 1205957446
South Queens Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Jamaica, New York. South Queens Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for South Queens Dialysis Center is 1205957446. The last update date is 2009-09-17.
South Queens Dialysis Center's current location address is 17537 Liberty Ave, Jamaica, New York. You can contact this provider via phone number 7182979100 and fax number 7182970625. The mailing address for South Queens Dialysis Center is 17537 Liberty Ave, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Queens Dialysis Center |
|---|---|
| Address | 17537 Liberty Ave, Jamaica, New York |
| Phone Number | 7182979100 |
| Fax Number | 7182970625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Slifkin Robert |
| Credentials | M.D. |
| Telephone Number | 5166268947 |
NPI Number Detail
| NPI Number | 1205957446 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2009-09-17 |
Provider Mailing Address Detail
| Address | 17537 Liberty Ave |
|---|---|
| City | Jamaica |
| State | New York (NY) |
| Post Code | 114331325 |
| Phone Number | 7182979100 |
| Fax Number | 7182970625 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Queens Dialysis Center by the Centers for Medicare & Medicaid Services?
The South Queens Dialysis Center has been assigned the NPI (National Provider Identifier) 1205957446 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where South Queens Dialysis Center's facilities are geographically located?
The facilities of South Queens Dialysis Center are physically situated at the following location: 17537 Liberty Ave, Jamaica, NY, 114331325.
What is the South Queens Dialysis Center's specialty and taxonomy code?
The South Queens Dialysis Center's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When was the South Queens Dialysis Center's 1205957446 issued?
The South Queens Dialysis Center's 1205957446 was issued on 2007-04-03.
When was the information pertaining to South Queens Dialysis Center most recently updated or revised?
The details related to South Queens Dialysis Center, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-17.
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