Green Manor Dialysis Center LLC
Green Manor Dialysis Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Greenbush, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
583 Columbia TpkeEast Greenbush, NY 12061-1602
Phone: (518) 477-4370
Fax: (518) 477-4319
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 · Licence 1059202R (NY) |
|---|
Record details
| NPI number | 1760836126 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Fournier — Director Of Dialysis Services · (518) 828-0717 |
| Other names | East Greenbush Dialysis |
| NPI enumerated | April 21, 2016 |
| Last updated in NPPES | May 24, 2016 |
| Mailing address | 583 Columbia Tpke, East Greenbush, NY 12061-1602 |
Other providers in East Greenbush
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Dialysis Clinic Inc
583 Columbia Tpke, East Greenbush, NY 12061-1602 · (518) 477-4217