KNICKERBOCKER DIALYSIS INC

STATEN ISLAND, NY
NPI1245731876
Doing Business AsSTATEN ISLAND SOUTH DIALYSIS
Entity TypeOrganization
Authorized ContactSAMUEL WEY
VP, Licensure & Certification
615-341-6641
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2018-02-28
Last Update Date2023-12-13
Business Address
KNICKERBOCKER DIALYSIS INC
30 SNEDEN AVE
STATEN ISLAND, NY 10312-3637
Phone number: 718-356-2678
Mailing Address
KNICKERBOCKER DIALYSIS INC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: 615-341-6410