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TRUE NORTH DIALYSIS CENTER LLC NPI 1659742419


NPI Information

NPI: 1659742419
Provider Name: TRUE NORTH DIALYSIS CENTER LLC

Doing Business As: PORT WASHINGTON DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
50 SEAVIEW BLVD
PORT WASHINGTON, NY
ZIP 11050
Phone: (516) 484-3460
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TRUE NORTH DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Port Washington, NY. TRUE NORTH DIALYSIS CENTER LLC NPI is 1659742419. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Washington Dialysis.

The provider's business location address is:

50 SEAVIEW BLVD
PORT WASHINGTON, NY
ZIP 11050-615
Phone: (516) 484-3460
Fax: (516) 484-7949

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 enumeration date for this NPI number is 10/19/2015 and was last updated on 1/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104791604MEDICAIDNEW 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

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