Organization
BRIDGEWATER CFD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE M ZASTAWNY LNHA (ADMINISTRATOR/CEO)
(607) 722-7225
Entity
Organization
Contact information
Practice address
159 FRONT ST, BINGHAMTON, NY 13905-3103
(607) 722-7225
(607) 722-0061
Mailing address
159 FRONT ST, BINGHAMTON, NY 13905-3103
(607) 722-7225
(607) 722-0061
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
02/11/2014
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