Organization
WOODMERE DIALYSIS,LLC
Active
Other names
Bay Bark Dalysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MILES DAVIS (DIRECTOR)
(800) 975-5201
Entity
Organization
Contact information
Practice address
801 CO OP CITY BLVD, BRONX, NY 10475-1603
(718) 239-6444
Mailing address
801 CO OP CITY BLVD, BRONX, NY 10475-1603
(718) 239-6444
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
01
—
2950210R
OPERATING CERTIFICATE
NY
Enumeration date
10/23/2019
Last updated
10/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us