Organization
NEWTOWN DIALYSIS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. GANESH BHAT MD (PRESIDENT)
(718) 366-1111
Entity
Organization
Contact information
Practice address
2920 NEWTOWN AVE, ASTORIA, NY 11102-2129
(718) 728-2222
(718) 932-1236
Mailing address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(718) 728-2222
(718) 932-1236
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003247R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009526
EMPIRE BC/BS
NY
05
—
01773931
—
NY
Enumeration date
07/12/2005
Last updated
03/04/2015
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