KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. KNICKERBOCKER DIALYSIS INC NPI is 1902456742. The provider is registered as an organization entity type. The provider .
The provider's business location address is:
34 MARCONI ST STE 110 BRONX, NY ZIP 10461-755 Phone: (929) 286-5280 Fax: (929) 286-5281
The provider's authorized official is Samuel Wey . The authorized official title is Assistant Secretary and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 33D2172739 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/13/2019 and was last updated on 4/8/2025.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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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