Organization
RIDGEWOOD DIALYSIS CENTER, INC
Active
Other names
Central Park Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
J. GANESH BHAT MD (PRESIDENT)
(718) 366-1111
Entity
Organization
Contact information
Practice address
1249 5TH AVE, NEW YORK, NY 10029-4413
(718) 483-7440
Mailing address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(718) 483-7440
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
—
03566387
—
NY
Enumeration date
07/26/2012
Last updated
03/04/2015
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