Organization
PENINSULA CONTINUUM SERVICES LLC
Active
Other names
Cassena Kidney Care at Peninsula
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE DEBENEDICTIS (MEMBER)
(516) 422-7818
Entity
Organization
Contact information
Practice address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(800) 975-5201
(800) 975-5201
Mailing address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(800) 975-5201
(800) 975-5201
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003286R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332742
CCN
—
Enumeration date
03/22/2016
Last updated
06/12/2024
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