Organization
WORKMENS CIRCLE DIALYSIS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR COOPERBERG (CFO)
(516) 422-7882
Entity
Organization
Contact information
Practice address
3155 GRACE AVE, BRONX, NY 10469-3134
(718) 379-8100
Mailing address
3155 GRACE AVE, BRONX, NY 10469-3134
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03760249
—
NY
Enumeration date
01/07/2013
Last updated
05/12/2016
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