Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1083640270

Knickerbocker Dialysis Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Garden City, New York. Registered with an NPI since 2006.

In the registry since: 2006

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

1100 Stewart Ave Ste 2
Garden City, NY 11530-4839
Phone: (516) 357-0004
Fax: (516) 357-7377

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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 number	1083640270
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names	Garden City Dialysis Center; Garden City Dialysis Center
NPI enumerated	June 23, 2006
Last updated in NPPES	February 16, 2026
Certification date	February 16, 2026
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Dr. Christopher Caputo, MD Nephrology Physician · Mineola, NY
Lionel Emanuel Desroches, MD Nephrology Physician · Laurelton, NY
Dr. Antonio Joseph Jr., MD Internal Medicine Physician · Laurelton, NY
Dr. Lance Rubel, MD Nephrology Physician · Roslyn, NY