Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
East Islip Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
200 CARLETON AVE, EAST ISLIP, NY 11730-1222
(631) 224-3350
(631) 224-3355
Mailing address
5200 VIRGINIA WAY, L & 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
07/01/2015
Last updated
07/02/2015
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