Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
Greenpoint Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
146 MESEROLE ST, FL 2, BROOKLYN, NY 11206-2582
(718) 388-6039
(718) 963-0941
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
05707382
—
NY
Enumeration date
02/08/2018
Last updated
03/06/2026
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