MILLS POND DIALYSIS CENTER LLC NPI 1962809632

NPI Information

NPI: 1962809632
Provider Name: MILLS POND DIALYSIS CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
ZIP 11704
Phone: (516) 422-4800
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MILLS POND DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in West Babylon, NY. MILLS POND DIALYSIS CENTER, LLC NPI is 1962809632. The provider is registered as an organization entity type.

The provider's business location address is:

134 GREAT EAST NECK RD
WEST BABYLON, NY
ZIP 11704-027
Phone: (516) 422-4800

The provider's authorized official is Pasquale Debenedictis .
The authorized official title is Manager / Member and has the following contact phone number (516) 422-7818.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 5/7/2018.

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		NEW YORK	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	332731	OTHER		CCN

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: 11/14/2023

NPI Synchronization or Removal

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