Organization
HUNTINGTON ARTIFICIAL KIDNEY CENTER LTD
Active
Other names
Freeport Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
351 S MAIN ST, FREEPORT, NY 11520-5114
(516) 623-1786
(516) 546-5074
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
—
00702516 04
—
NY
Enumeration date
06/25/2006
Last updated
02/18/2025
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