Organization
MOUNT VERNON DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER OBHOKHAN ADUBOR MD (MEDICAL DIRECTOR)
(914) 665-4343
Entity
Organization
Contact information
Practice address
12 N 7TH AVENUE, 3RD FLOOR, MOUNT VERNON, NY 10550-2026
(914) 665-4343
(914) 665-2982
Mailing address
12 N 7TH AVE, 3RD FLOOR, MOUNT VERNON, NY 10550-2026
(914) 665-4343
(914) 665-2982
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
11/11/2008
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