Organization
KNICKERBOCKER DIALYSIS INC
Active
Other names
Westchester Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
955 YONKERS AVE, STE 201, YONKERS, NY 10704-3063
(914) 237-7659
(914) 237-7894
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
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
—
05455578
—
NY
Enumeration date
12/19/2016
Last updated
06/17/2025
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