Organization
MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOCIATES, INC
Active
Other names
4102-13th Avenue Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHTERN (ADMINISTRATOR, CEO)
(718) 258-7700
Entity
Organization
Contact information
Practice address
4102 13TH AVE, BROOKLYN, NY 11219-1333
(718) 517-2222
Mailing address
1915 OCEAN AVE, BROOKLYN, NY 11230-6801
(718) 258-7700
(718) 258-9273
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
—
02002642
—
NY
Enumeration date
06/07/2010
Last updated
06/07/2010
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