Organization
LIBERTY RC INC
Active
Other names
Yonkers East Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5 ODELL PLZ, STE 131, YONKERS, NY 10701-1406
(914) 376-0296
(914) 376-3510
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
03180283
—
NY
Enumeration date
09/03/2008
Last updated
12/19/2025
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