KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. KNICKERBOCKER DIALYSIS INC NPI is 1063911659. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Eden Dialysis.
The provider's business location address is:
1490 MACOMBS RD
BRONX, NY
ZIP 10452-101
Phone: (718) 588-2347
Fax: (718) 293-8906
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 33D2161143 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2018 and was last updated on 1/28/2021.