KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Staten Island, NY. KNICKERBOCKER DIALYSIS INC NPI is 1366876948. The provider is registered as an organization entity type.
The provider Is Doing Business As Staten Island Dialysis Center.
The provider's business location address is:
1139 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10305-061
Phone: (718) 816-4913
Fax: (718) 816-6340
The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 33D2067682 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/30/2013 and was last updated on 2/29/2024.