Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
135 VANDERBILT AVE, STATEN ISLAND, NY 10304-2604
(718) 420-1934
(718) 273-1949
Mailing address
135 VANDERBILT AVE, STATEN ISLAND, NY 10304-2604
(718) 420-1934
(718) 273-1949
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
10/05/2023
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