Organization
KNICKERBOCKER DIALYSIS INC
Active
Parent organization
DAVITA INC
Other names
North Canarsie Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
JOHN WINSTEL (VICE PRESIDENT)
(253) 733-4501
Entity
Organization
Contact information
Practice address
276 BLAKE AVE, BROOKLYN, NY 11212-6362
(718) 346-7478
(718) 346-0566
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
06/18/2021
Last updated
06/18/2021
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