Organization
SEA CREST ACQUISITION II, LLC
Active
Other names
Cassena Kidney Care at Sea Crest
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE DEBENEDICTIS (MANAGER / MEMBER)
(516) 422-7818
Entity
Organization
Contact information
Practice address
3035 W 24TH ST, BROOKLYN, NY 11224-2114
(516) 422-7817
Mailing address
3035 W 24TH ST, BROOKLYN, NY 11224-2114
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332763
CCN
—
Enumeration date
03/08/2017
Last updated
06/12/2024
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