KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Ridgewood, NY. KNICKERBOCKER DIALYSIS INC NPI is 1679192876. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridge Care Dialysis.
The provider's business location address is:
1734 HANCOCK ST
RIDGEWOOD, NY
ZIP 11385-734
Phone: (929) 290-1267
Fax: (917) 909-5950
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 33D2187391 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/9/2020 and was last updated on 1/10/2024.