Organization
BROOKLYN DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVENDRA SHRIVASTAVA (MD)
(516) 698-1260
Entity
Organization
Contact information
Practice address
915 DEAN ST, BROOKLYN, NY 11238-3203
(347) 915-2140
(347) 915-2152
Mailing address
915 DEAN ST, BROOKLYN, NY 11238-3203
(347) 915-2140
(347) 915-2152
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
08/16/2023
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