Organization
CHINATOWN DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM SINITZKY CPA (CHIEF OPERATING OFFICER)
(212) 889-0770
Entity
Organization
Contact information
Practice address
213 HESTER ST, SECOND FLOOR, NEW YORK, NY 10013
(212) 925-0404
(212) 725-3538
Mailing address
213 HESTER ST, SECOND FLOOR, NEW YORK, NY 10013-4966
(212) 925-0404
(212) 725-3538
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7002171R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021792
EMPIRE BLUE CROSS ID#
NY
05
—
02389875
—
NY
Enumeration date
11/09/2005
Last updated
07/11/2018
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