KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Queens Village, NY. KNICKERBOCKER DIALYSIS INC NPI is 1770528432. The provider is registered as an organization entity type.
The provider Is Doing Business As Queens Village Dialysis Center.
The provider's business location address is:
22202 HEMPSTEAD AVE
STE 170
QUEENS VILLAGE, NY
ZIP 11429-123
Phone: (718) 217-6200
Fax: (718) 217-4191
The provider's authorized official is Samuel Wey .
The authorized official title is Sr Dir, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 33D1028973 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/10/2023.