Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
583 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-1602
(518) 477-4217
Mailing address
1850 PEOPLES AVE, TROY, NY 12180-3607
(518) 571-0702
(518) 271-0624
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
10/04/2023
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