Organization
NEWTOWN DIALYSIS CENTER, INC
Active
Other names
Astoria 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
3401 35TH AVE, ASTORIA, NY 11106-1222
(718) 707-9988
(718) 707-9830
Mailing address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
(347) 312-3034
(347) 312-3042
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003247R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03009592
—
NY
01
—
031526
EMPIRE BCBS
NY
Enumeration date
11/01/2006
Last updated
12/31/2018
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