FLUSHING MANOR DIALYSIS CENTER LLC NPI 1285843904

NPI Information

NPI: 1285843904
Provider Name: FLUSHING MANOR DIALYSIS CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D1074642

Address:
3617 PARSONS BLVD
FLUSHING, NY
ZIP 11354
Phone: (718) 961-4300
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FLUSHING MANOR DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Flushing, NY. FLUSHING MANOR DIALYSIS CENTER, LLC NPI is 1285843904. The provider is registered as an organization entity type.

The provider's business location address is:

3617 PARSONS BLVD
FLUSHING, NY
ZIP 11354-931
Phone: (718) 961-4300
Fax: (718) 939-8429

The provider's authorized official is Richard D Sherman .
The authorized official title is Administrator and has the following contact phone number (718) 961-4300.

The CLIA number assigned to this NPI record is 33D1074642 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 5/31/2016.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	332659	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	#02991431	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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