Organization
NEW YORK ARTIFICIAL KIDNEY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA TARANTUL (ADMINISTRATOR)
(718) 769-4100
Entity
Organization
Contact information
Practice address
2701 EMMONS AVE, BROOKLYN, NY 11235-2209
(718) 769-4100
(718) 769-4105
Mailing address
2651 E 14TH ST, BROOKLYN, NY 11235-3915
(718) 769-4100
(718) 769-4105
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7001102R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02259218
—
NY
Enumeration date
10/31/2006
Last updated
10/10/2019
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