Organization
RIDGEWOOD DIALYSIS CENTER, INC.
Active
Other names
Springfield Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. GANESH BHAT MD (PRESIDENT)
(718) 366-1111
Entity
Organization
Contact information
Practice address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(718) 762-3330
(718) 762-1537
Mailing address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(718) 762-3330
(718) 762-1537
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003241R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018788
EMPIRE BCBS
NY
05
—
03007572
—
NY
Enumeration date
07/14/2005
Last updated
11/14/2019
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