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NEW YORK DIALYSIS SERVICES INC. NPI 1760959142


NPI Information

NPI: 1760959142
Provider Name: NEW YORK DIALYSIS SERVICES, INC.

Doing Business As: FREEDOM CENTER OF QUEENS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2101949

Address:
17635 UNION TPKE
FRESH MEADOWS, NY
ZIP 11366
Phone: (718) 969-3293
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NEW YORK DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in Fresh Meadows, NY. NEW YORK DIALYSIS SERVICES, INC. NPI is 1760959142. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Center Of Queens.

The provider's business location address is:

17635 UNION TPKE
FRESH MEADOWS, NY
ZIP 11366-515
Phone: (718) 969-3293
Fax: (718) 969-3927

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 33D2101949 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 10/16/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 5/5/2024

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