KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. KNICKERBOCKER DIALYSIS INC NPI is 1407415243. The provider is registered as an organization entity type.
The provider Is Doing Business As Longwood Dialysis.
The provider's business location address is:
931 BRUCKNER BLVD
BRONX, NY
ZIP 10459-525
Phone: (718) 378-0921
Fax: (718) 378-1423
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 33D2165433 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/6/2019 and was last updated on 3/3/2021.