Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
North Ocean Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10 SNYDER AVE, BROOKLYN, NY 11226-4021
(718) 282-9570
(718) 282-9577
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
04/08/2025
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