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NEW YORK DIALYSIS SERVICES INC. NPI 1003210915


NPI Information

NPI: 1003210915
Provider Name: NEW YORK DIALYSIS SERVICES, INC.

Doing Business As: FREEDOM CENTER OF ROCHESTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2165437

Address:
100 MERIDIAN CENTRE BLVD STE 130
ROCHESTER, NY
ZIP 14618
Phone: (585) 241-9783
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NEW YORK DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in Rochester, NY. NEW YORK DIALYSIS SERVICES, INC. NPI is 1003210915. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Center Of Rochester.

The provider's business location address is:

100 MERIDIAN CENTRE BLVD STE 130
ROCHESTER, NY
ZIP 14618-926
Phone: (585) 241-9783
Fax: (585) 241-3430

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 33D2165437 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 8/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104317433MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.