Organization
CRD ASSOCIATES LLC
Active
Other names
Cliffside Renal Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEUTSCH (ADMINISTRATOR)
(718) 886-0700
Entity
Organization
Contact information
Practice address
11919 GRAHAM CT, FLUSHING, NY 11354-1047
(718) 886-0700
Mailing address
11919 GRAHAM CT, FLUSHING, NY 11354-1047
(718) 886-0700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
7003226R
NY
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003266R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739302
—
NY
Enumeration date
03/29/2006
Last updated
05/29/2008
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