QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Woodside, NY. QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC NPI is 1619539996. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Queens Boulevard Extended Care Dialysis Center Llc.
The provider's business location address is:
6111 QUEENS BLVD
WOODSIDE, NY
ZIP 11377-965
Phone: (718) 205-0287
The provider's authorized official is James Clemenza .
The authorized official title is Managing Member and has the following contact phone number (718) 205-0287.
The enumeration date for this NPI number is 7/8/2019 and was last updated on 12/15/2021.