Enchanted Dialysis LLC
Enchanted Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, New York. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1120 S Main StNewark, NY 14513-2171
Phone: (315) 331-6958
Fax: (315) 331-6521
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1215379078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Newark Wayne Dialysis Center; Newark Wayne Dialysis Center |
| NPI enumerated | July 22, 2013 |
| Last updated in NPPES | October 8, 2020 |
| Certification date | October 8, 2020 |
| Mailing address | 5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569 |
Other providers in Newark
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Freedom Center of Newark, LLC
305 W Shore Blvd, Newark, NY 14513-1261 · (315) 331-2472
-
New York Dialysis Services, Inc
305 W Shore Blvd, Newark, NY 14513-1261 · (315) 331-2472