NEW YORK DIALYSIS SERVICES INC. NPI 1104208339

NPI Information

  • NPI: 1104208339
  • Provider Name: NEW YORK DIALYSIS SERVICES, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: HUNTINGTON STATION DIALYSIS CENTER
  • Address: 33 WALT WHITMAN RD
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 547-4150

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NPI Details

NEW YORK DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in Huntington Station, NY. NEW YORK DIALYSIS SERVICES, INC. NPI is 1104208339. The provider is registered as an organization entity type.
The provider Is Doing Business As Huntington Station Dialysis Center.

The provider's business location address is:

33 WALT WHITMAN RD
HUNTINGTON STATION, NY
ZIP 11746-640
Phone: (631) 547-4150
Fax: (631) 547-4173

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 enumeration date for this NPI number is 6/24/2015 and was last updated on 10/17/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

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This page was last updated on: 3/30/2025

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