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Organization

GREEN MANOR DIALYSIS CENTER LLC

Active
Other names
Northern Hudson Valley Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
VINNY ANAND MD (CEO MEDICAL DIRECTOR)
(518) 943-1404
Entity
Organization

Contact information

Practice address
159 JEFFERSON HTS, CATSKILL, NY 12414-1237
(518) 943-1404
(518) 943-2602
Mailing address
159 JEFFERSON HTS, CATSKILL, NY 12414-1237
(518) 943-1404
(518) 943-2602

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1059202R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01687094
NY
Enumeration date
09/01/2005
Last updated
07/09/2008
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