Concourse Replacement Llc in Bronx - End-stage Renal Disease (esrd) Treatment
Concourse Replacement Llc - NPI 1740400431
Concourse Replacement Llc is a End-stage Renal Disease (esrd) Treatment in Bronx, New York. Concourse Replacement Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Concourse Replacement Llc is 1740400431. The last update date is 2023-10-12.
Concourse Replacement Llc's current location address is 1780 Grand Concourse, Bronx, New York. You can contact this provider via phone number 7185831800 and fax number 7185834160. The mailing address for Concourse Replacement Llc is 1780 Grand Concourse, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Concourse Replacement Llc |
|---|---|
| Address | 1780 Grand Concourse, Bronx, New York |
| Phone Number | 7185831800 |
| Fax Number | 7185834160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Licciardi Dominic |
| Telephone Number | 7189875942 |
NPI Number Detail
| NPI Number | 1740400431 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2023-10-12 |
Provider Mailing Address Detail
| Address | 1780 Grand Concourse |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104575500 |
| Phone Number | 7185831800 |
| Fax Number | 7185834160 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2986203 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Concourse Replacement Llc by the Centers for Medicare & Medicaid Services?
The Concourse Replacement Llc has been assigned the NPI (National Provider Identifier) 1740400431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Concourse Replacement Llc is located?
The Concourse Replacement Llc is situated at the following address: 1780 Grand Concourse, Bronx, NY, 104575500.
What is Concourse Replacement Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Concourse Replacement Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740400431 to Concourse Replacement Llc?
The Centers for Medicare & Medicaid Services originally issued the 1740400431 to Concourse Replacement Llc on 2007-04-26.
As of what date was the information regarding Concourse Replacement Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Concourse Replacement Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-12.
NPI Number: 1477582294
Address: 5480 Wisconsin Ave Ste 204, Chevy Chase, MD