LSL NEWBURGH LLC NPI 1346572153

NPI Information

  • NPI: 1346572153
  • Provider Name: LSL NEWBURGH, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: LIBERTY HUDSON VALLEY DIALYSIS
  • CLIA Number: 33D2009606
  • Address: 19 LAUREL AVE FL 1
    CORNWALL, NY
    ZIP 12518
  • Phone: (845) 534-9820

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NPI Details

LSL NEWBURGH, LLC is an end-stage renal disease (esrd) treatment clinic center in Cornwall, NY. LSL NEWBURGH, LLC NPI is 1346572153. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Hudson Valley Dialysis.

The provider's business location address is:

19 LAUREL AVE FL 1
CORNWALL, NY
ZIP 12518-403
Phone: (845) 534-9820
Fax: (845) 534-9825

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 CLIA number assigned to this NPI record is 33D2009606 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2010 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?

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: 11/21/2025

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