KNICKERBOCKER DIALYSIS INC NPI 1962957993

NPI Information

KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. KNICKERBOCKER DIALYSIS INC NPI is 1962957993. The provider is registered as an organization entity type.
The provider Is Doing Business As Hutchinson River Dialysis.

The provider's business location address is:

2331 EASTCHESTER RD
BRONX, NY
ZIP 10469-910
Phone: (718) 547-0612
Fax: (718) 653-0294

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 33D2119250 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 7/6/2020.

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:

Other Identifiers

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