Organization
DIALYZE DIRECT NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (AUTHORIZED MANAGER)
(732) 806-9968
Entity
Organization
Contact information
Practice address
4714 16TH AVE, BROOKLYN, NY 11204-1106
(732) 806-9990
Mailing address
1575 50TH ST, STE 401, BROOKLYN, NY 11219-3769
(732) 806-9990
(732) 806-9995
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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