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Organization

KNICKERBOCKER DIALYSIS INC

Active
Parent organization
DAVITA INC
Other names
Elmcare Dialysis
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVITA INC
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(615) 320-4414
Entity
Organization

Contact information

Practice address
7921 QUEENS BLVD, ELMHURST, NY 11373-3746
(929) 895-7482
(929) 895-7023
Mailing address
5200 VIRGINIA WAY, L AND C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4414
(866) 865-2884

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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