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Organization

DITMAS PARK DIALYSIS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHABSE OBERLANDER (CEO)
(718) 462-8100
Entity
Organization

Contact information

Practice address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
(718) 462-8100
Mailing address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
(718) 462-8100

Taxonomy

Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary

Other

Enumeration date
11/22/2018
Last updated
11/22/2018
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