USRC PELHAM LLC NPI 1033582283

NPI Information

USRC PELHAM, LLC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. USRC PELHAM, LLC NPI is 1033582283. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Pelham Parkway Dialysis.

The provider's business location address is:

1225A MORRIS PARK AVE
BRONX, NY
ZIP 10461-929
Phone: (718) 409-1909
Fax: (718) 409-1823

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman, Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 33D2086081 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 2/14/2019.

Taxonomy Codes

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