NASSAU DIALYSIS LLC NPI 1952342701

NPI Information

NPI: 1952342701
Provider Name: NASSAU DIALYSIS LLC

Doing Business As: SOUTH SHORE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
615 PENINSULA BLVD
HEMPSTEAD, NY
ZIP 11550
Phone: (516) 483-6702
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NASSAU DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Hempstead, NY. NASSAU DIALYSIS LLC NPI is 1952342701. The provider is registered as an organization entity type.
The provider Is Doing Business As South Shore Dialysis Center.

The provider's business location address is:

615 PENINSULA BLVD
HEMPSTEAD, NY
ZIP 11550-221
Phone: (516) 483-6702

The provider's authorized official is Corene Korba .
The authorized official title is Billing Manager and has the following contact phone number (914) 644-9276.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 11/24/2008.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	332521	MEDICARE OSCAR/CERTIFICATION

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: 4/28/2024

NPI Synchronization or Removal

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