Organization
ULSTER DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
900 MIRON LN, KINGSTON, NY 12401-1567
(845) 666-0790
(845) 666-0785
Mailing address
PO BOX 631106, CINCINNATI, OH 45263-1106
(845) 666-0790
(845) 666-0785
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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