Organization
LIBERTY RC INC
Active
Other names
Bedford Park Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3117 WEBSTER AVE, FL 1, BRONX, NY 10467-4905
(718) 920-1530
(718) 920-1520
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1401232R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03060428
—
NY
Enumeration date
05/15/2007
Last updated
08/03/2023
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