Organization
MASSENA CENTER LLC
Active
Other names
Massena Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
290 MAIN ST, MASSENA, NY 13662-1901
(315) 705-0101
(315) 705-0403
Mailing address
290 MAIN ST, MASSENA, NY 13662-1901
(315) 705-0101
(315) 705-0403
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
—
04087734
—
NY
Enumeration date
11/11/2014
Last updated
01/14/2023
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