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Organization

GATEWAY DIALYSIS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK MEISELS (ADMINISTRATOR)
(718) 223-2100
Entity
Organization

Contact information

Practice address
FOUR SEASONS DIALYSIS CENTER, 1170 EAST 98TH STREET, BROOKLYN, NY 11236-4006
(718) 223-2100
(718) 223-2110
Mailing address
FOUR SEASONS DIALYSIS CENTER, 1170 EAST 98TH STREET, BROOKLYN, NY 11236-4006
(718) 223-2100
(718) 223-2110

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7001117R
NY

Other

Enumeration date
11/15/2005
Last updated
08/22/2020
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