Organization
EAST END DIALYSIS MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. GANESH BHAT MD (PRESIDENT)
(718) 366-1111
Entity
Organization
Contact information
Practice address
792 HARRISON AVE, SOUTH BUILDING, RIVERHEAD, NY 11901-2744
(718) 483-7440
Mailing address
2314 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2526
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
03/04/2015
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