Organization
SOUTH SHORE DIALYSIS CENTER INC. - HEMPSTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORENE KORBA (BILLING MANAGER)
(914) 644-9276
Entity
Organization
Contact information
Practice address
160 N FRANKLIN ST, SOUTH HEMPSTEAD, NY 11550-1317
(516) 483-6702
Mailing address
160 N FRANKLIN ST, SOUTH HEMPSTEAD, NY 11550-1317
(516) 483-6702
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2906202R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005317
EMPIRE BLUE CROSS
NY
05
—
00803892
—
NY
Enumeration date
06/05/2006
Last updated
08/22/2020
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