Organization
BROOKLYN GARDENS DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MELNICKE (MANAGER / MEMBER)
(718) 344-7087
Entity
Organization
Contact information
Practice address
835 HERKIMER ST, BROOKLYN, NY 11233-3031
(718) 123-4567
Mailing address
835 HERKIMER ST, BROOKLYN, NY 11233-3031
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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