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CITADEL RENAL CENTER LLC NPI 1144866252


NPI Information

NPI: 1144866252
Provider Name: CITADEL RENAL CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2213330

Address:
100 W KINGSBRIDGE RD
BRONX, NY
ZIP 10468
Phone: (718) 410-1374
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CITADEL RENAL CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. CITADEL RENAL CENTER LLC NPI is 1144866252. The provider is registered as an organization entity type.

The provider's business location address is:

100 W KINGSBRIDGE RD
BRONX, NY
ZIP 10468-961
Phone: (718) 410-1374

The provider's authorized official is Malky Friedman .
The authorized official title is Manager / Member and has the following contact phone number (718) 410-1374.

The CLIA number assigned to this NPI record is 33D2213330 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2019 and was last updated on 2/16/2020.


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) TreatmentYes

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: 11/14/2023

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