Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
Flatlands Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1641 E 16TH ST, FL 5, BROOKLYN, NY 11229-1107
(718) 645-1615
(718) 645-9263
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
—
06775355
—
NY
Enumeration date
07/19/2018
Last updated
11/13/2025
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