Organization
FOUR SEASONS DIALYSIS CENTER
Active
Other names
Gateway Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY FRIEDMAN (CEO)
(718) 223-2100
Entity
Organization
Contact information
Practice address
1170 E 98TH ST, BROOKLYN, NY 11236-4006
(718) 223-2100
Mailing address
1170 E 98TH ST, BROOKLYN, NY 11236-4006
(718) 223-2100
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7001117R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02620840
—
NY
Enumeration date
01/26/2007
Last updated
09/19/2007
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