Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
Mid-Hudson Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(615) 320-4414
Entity
Organization
Contact information
Practice address
982 MAIN ST, FISHKILL, NY 12524-3506
(845) 897-1610
(845) 897-1617
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
10/25/2019
Last updated
10/25/2019
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