AVANTUS RENAL THERAPY NEW YORK LLC NPI 1811329162

NPI Information

AVANTUS RENAL THERAPY NEW YORK, LLC is an end-stage renal disease (esrd) treatment clinic center in New York, NY. AVANTUS RENAL THERAPY NEW YORK, LLC NPI is 1811329162. The provider is registered as an organization entity type.
The provider Is Doing Business As Avantus Irving Place Dialysis Center.

The provider's business location address is:

120 E 16TH ST FL 6
NEW YORK, NY
ZIP 10003-162
Phone: (646) 602-6950
Fax: (646) 602-6956

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 33D1001763 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 10/12/2023.

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:

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