Organization
IHS OF NEW YORK INC
Active
Other names
Pelham Parkway Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MCDONNELL (PRESIDENT)
(561) 361-1113
Entity
Organization
Contact information
Practice address
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER BLDG 5 A1, BRONX, NY 10461-1138
(718) 409-1909
(718) 409-1823
Mailing address
6001 BROKEN SOUND PKWY, SUITE 508, BOCA RATON, FL 33487-2765
(561) 443-0743
(561) 443-7296
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03009161
—
NY
Enumeration date
06/23/2006
Last updated
08/26/2015
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