Organization
WORKMENS CIRCLE DIALYSIS MANAGEMENT LLC
Active
Other names
Cassena Kidney Care at Workmens Circle
Organization subpart
No
Provider details
NPI number
Authorized official
PAT DEBENEDICTIS (MANAGER / MEMBER)
(516) 422-7818
Entity
Organization
Contact information
Practice address
3155 GRACE AVE, BRONX, NY 10469-3134
(718) 304-1255
Mailing address
3155 GRACE AVE, BRONX, NY 10469-3134
(718) 304-1255
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03760249
—
NY
01
—
332695
CCN
—
Enumeration date
08/19/2015
Last updated
06/12/2024
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