Organization
PARK SLOPE DIALYSIS MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CUNDIFF (COMPLIANCE OFFICER)
(718) 483-7428
Entity
Organization
Contact information
Practice address
672 PARKSIDE AVE, BROOKLYN, NY 11226-1506
(718) 483-7428
Mailing address
672 PARKSIDE AVE, BROOKLYN, NY 11226-1506
(718) 483-7428
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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