Organization
WOODMERE DIALYSIS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENT PHILIPSON (PRESIDENT)
(516) 374-9300
Entity
Organization
Contact information
Practice address
121 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 374-9300
(516) 374-1786
Mailing address
121 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 374-9300
(516) 374-1786
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
—
02860979
—
NY
Enumeration date
07/16/2006
Last updated
10/12/2007
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