Organization
BRONX RIVER NEPHRO-CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORENE KORBA (BILLING MANAGER)
(914) 644-9276
Entity
Organization
Contact information
Practice address
1616 BRONXDALE AVE, BRONX, NY 10462-3302
(718) 430-9800
(718) 430-6854
Mailing address
1616 BRONXDALE AVE, BRONX, NY 10462-3302
(718) 430-9800
(718) 430-6854
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7000249R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01812064
—
NY
Enumeration date
06/15/2006
Last updated
01/24/2017
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