Organization
CITADEL RENAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKY FRIEDMAN (MANAGER / MEMBER)
(718) 410-1374
Entity
Organization
Contact information
Practice address
100 W KINGSBRIDGE RD, BRONX, NY 10468-3961
(718) 410-1374
Mailing address
100 W KINGSBRIDGE RD, BRONX, NY 10468-3961
(718) 410-1374
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2019
Last updated
02/16/2020
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