Organization
BUSHWICK CENTER FOR RENAL DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MEISELS (COO)
(718) 345-2273
Entity
Organization
Contact information
Practice address
50 SHEFFIELD AVE, BROOKLYN, NY 11207-2420
(718) 345-2273
Mailing address
50 SHEFFIELD AVE, BROOKLYN, NY 11207-2420
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
—
03967668
—
NY
Enumeration date
07/11/2013
Last updated
01/13/2015
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