Organization
FLUSHING MANOR DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D SHERMAN (ADMINISTRATOR)
(718) 961-4300
Entity
Organization
Contact information
Practice address
3617 PARSONS BLVD, FLUSHING, NY 11354-5931
(718) 961-4300
(718) 939-8429
Mailing address
3617 PARSONS BLVD, FLUSHING, NY 11354-5931
(718) 961-4300
(718) 939-8429
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
—
#02991431
—
NY
Enumeration date
05/21/2007
Last updated
05/31/2016
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