Organization
KINGS HARBOR HEALTH SERVICES LLC
Active
Other names
Kings Harbor Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS TENENBAUM (MEMBER)
(718) 320-1335
Entity
Organization
Contact information
Practice address
2020 E GUN HILL RD, BRONX, NY 10469
(718) 320-1335
Mailing address
2020 E GUN HILL RD, BRONX, NY 10469
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7000268R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02595182
—
NY
Enumeration date
10/31/2006
Last updated
01/02/2020
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