Organization
MIDWOOD DIALYSIS, LLC
Active
Other names
Neomy Dialysis Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK MEISELS (ADMINISTRATOR)
(347) 203-0430
Entity
Organization
Contact information
Practice address
1122 CONEY ISLAND AVE, BROOKLYN, NY 11230-2345
(347) 203-0430
Mailing address
1122 CONEY ISLAND AVE, BROOKLYN, NY 11230-2345
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
—
03246022
—
NY
Enumeration date
09/15/2009
Last updated
01/13/2015
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