Organization
BRONX RIVER NEPHRO CARE AT WOODMERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORENE KORBA (BILLING MANAGER)
(914) 644-9276
Entity
Organization
Contact information
Practice address
WOODMERE REHABILITIATION AND HEALTH CARE CENTER, 121 FRANKLIN PLACE, WOODMERE, NY 11598
(516) 791-5277
Mailing address
WOODMERE REHABILITIATION AND HEALTH CARE CENTER, 121 FRANKLIN PLACE, WOODMERE, NY 11598
(516) 791-5277
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
—
01812064
—
NY
01
—
027391
EMPIRE BCBS
—
Enumeration date
07/03/2006
Last updated
08/22/2020
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