Organization
HARRIMAN PARTNERS LLC
Active
Other names
PREMIER DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
30 HATFIELD LN, BLDG 2, GOSHEN, NY 10924-6783
(845) 291-7495
(845) 291-7388
Mailing address
30 HATFIELD LN, BLDG 2, GOSHEN, NY 10924-6783
(845) 291-7495
(845) 291-7388
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04449721
—
NY
Enumeration date
12/03/2015
Last updated
01/14/2023
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