Organization
RENAL CARE OF ROCKLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW H MORIBER (CHIEF EXECUTIVE OFFICER)
(305) 534-1905
Entity
Organization
Contact information
Practice address
131 ROUTE 303, VALLEY COTTAGE, NY 10989-5900
(845) 268-2777
(845) 258-7198
Mailing address
131 ROUTE 303, VALLEY COTTAGE, NY 10989-5900
(845) 268-2777
(845) 258-7198
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
43350202R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799100
—
NY
Enumeration date
09/02/2005
Last updated
04/09/2012
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