Organization
GREEN MANOR DIALYSIS CENTER LLC
Active
Other names
DBA Columbia-Greene Dialysis Centers
Organization subpart
No
Provider details
NPI number
Authorized official
VINNY ANAND MD (CEO)
(518) 828-0717
Entity
Organization
Contact information
Practice address
30 WHITTIER WAY, GHENT, NY 12075
(518) 828-0717
(517) 822-0776
Mailing address
30 WHITTIER WAY, GHENT, NY 12075
(518) 828-0717
(517) 822-0776
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1059202R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01687094
—
NY
Enumeration date
08/23/2005
Last updated
08/22/2020
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