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

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1063895597

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Islip, New York. Registered with an NPI since 2015.

In the registry since
2015
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

200 Carleton Ave
East Islip, NY 11730-1222
Phone: (631) 224-3350
Fax: (631) 224-3355
Show map & directions

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 number1063895597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Hilger — Chief Accounting Officer · (253) 733-4500
Other names East Islip Dialysis
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 2, 2015
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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