Organization
TRUE NORTH DIALYSIS CENTER LLC
Active
Other names
Crossways Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
113 CROSSWAYS PARK DR, STE 102, WOODBURY, NY 11797-2044
(516) 921-0914
(516) 364-0164
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05703140
—
NY
Enumeration date
09/17/2018
Last updated
12/28/2023
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