Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1205461639

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Middle Island, New York. Registered with an NPI since 2020.

In the registry since: 2020

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

1277 Middle Country Rd
Middle Island, NY 11953
Phone: (631) 205-0132
Fax: (631) 205-0171

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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	1205461639
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Davita Inc
Authorized official	John Winstel — Chief Accounting Officer · (615) 320-4414
Other names	Middle Island Home Training
NPI enumerated	March 5, 2020
Last updated in NPPES	March 5, 2020
Certification date	March 5, 2020
Mailing address	5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569