Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1043668825

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendale, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8000 Cooper Ave
Glendale, NY 11385-7739
Phone: (718) 326-2789
Fax: (718) 416-4269
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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 number1043668825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Atlas Park Dialysis; Atlas Park Dialysis
NPI enumeratedJune 2, 2016
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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