Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Springfield Gardens, New York. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2020.
- CMS rating
- 3 of 5
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
21910 S Conduit AveSpringfield Gardens, NY 11413-3462
Phone: (718) 341-0107
Fax: (718) 341-2255
Show map & directions
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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 | 1114546256 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Davita Inc |
| Authorized official | John Winstel — Chief Accounting Officer · (615) 320-4414 |
| Other names | Conduit Avenue Dialysis |
| NPI enumerated | April 9, 2020 |
| Last updated in NPPES | April 9, 2020 |
| Certification date | April 9, 2020 |
| Mailing address | 5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569 |
Other providers in Springfield Gardens
-
True North Dialysis Center LLC
21910 S Conduit Ave, Springfield Gardens, NY 11413-3462 · (718) 341-0107