Organization
NOVO DIALYSIS JAMAICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D CUNDIFF (COO)
(516) 859-3904
Entity
Organization
Contact information
Practice address
21470 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1727
(516) 859-3904
Mailing address
2329 NOSTRAND AVE # SUIE100, BROOKLYN, NY 11210-3936
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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