KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Riverhead, NY. KNICKERBOCKER DIALYSIS INC NPI is 1679148084. The provider is registered as an organization entity type. The provider Is Doing Business As Peconic Bay Dialysis.
The provider's business location address is:
700 OLD COUNTRY RD STE 4 RIVERHEAD, NY ZIP 11901-129 Phone: (631) 208-0282 Fax: (631) 208-0129
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 enumeration date for this NPI number is 5/26/2021 and was last updated on 12/29/2023.
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:
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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