Organization
GENESIS SERVICES, LLC
Active
Other names
Genesis Renal Care
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BRACHFELD (MEMBER)
(800) 975-5201
Entity
Organization
Contact information
Practice address
7407 88TH ST, GLENDALE, NY 11385-7951
(646) 931-1000
Mailing address
7407 88TH ST, GLENDALE, NY 11385-7951
(646) 931-1000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
7003284R
NY
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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Other
Enumeration date
08/05/2015
Last updated
06/23/2016
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