Knickerbocker Dialysis Inc in Staten Island - End-stage Renal Disease (esrd) Treatment
Knickerbocker Dialysis Inc - NPI 1679517270
Knickerbocker Dialysis Inc is a End-stage Renal Disease (esrd) Treatment in Staten Island, New York. Knickerbocker Dialysis Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Knickerbocker Dialysis Inc is 1679517270. The last update date is 2021-03-31.
Knickerbocker Dialysis Inc's current location address is 1366 Victory Blvd, Staten Island, New York. You can contact this provider via phone number 7188166200 and fax number 7188166235. The mailing address for Knickerbocker Dialysis Inc is 1366 Victory Blvd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Knickerbocker Dialysis Inc |
|---|---|
| Address | 1366 Victory Blvd, Staten Island, New York |
| Phone Number | 7188166200 |
| Fax Number | 7188166235 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel D John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1679517270 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 1366 Victory Blvd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103013907 |
| Phone Number | 7188166200 |
| Fax Number | 7188166235 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3009152 | NY | -- |
Post Comment/ Review Below
What is the Knickerbocker Dialysis Inc's 1679517270?
The Knickerbocker Dialysis Inc's NPI (National Provider Identifier) Number is 1679517270. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Knickerbocker Dialysis Inc?
The Knickerbocker Dialysis Inc is situated at 1366 Victory Blvd, in the city of Staten Island, state of NY, with the zip code 103013907.
What is Knickerbocker Dialysis Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Knickerbocker Dialysis Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679517270 to Knickerbocker Dialysis Inc?
The Centers for Medicare & Medicaid Services assigned the 1679517270 to Knickerbocker Dialysis Inc on 2006-06-15.
As of what date were the Knickerbocker Dialysis Inc's details last updated?
The information pertaining to the Knickerbocker Dialysis Inc, including its address, specialty, and other details, was most recently updated on 2021-03-31.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN