Organization
SOUTH QUEENS DIALYSIS CENTER
Active
Other names
South Queens Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SLIFKIN M.D. (OWNER)
(516) 626-8947
Entity
Organization
Contact information
Practice address
17537 LIBERTY AVE, JAMAICA, NY 11433-1325
(718) 297-9100
(718) 297-0625
Mailing address
17537 LIBERTY AVE, JAMAICA, NY 11433-1325
(718) 297-9100
(718) 297-0625
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
09/17/2009
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