Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Staten Island, New York. Medicare rates this dialysis facility 4 out of 5. Licensed in New York.
- CMS rating
- 4 of 5
- Licensed in
- NY
- In the registry since
- 2013
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
1139 Hylan BlvdStaten Island, NY 10305-2061
Phone: (718) 816-4913
Fax: (718) 816-6340
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 · Licence 7000272R (NY) |
|---|
Record details
| NPI number | 1366876948 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp, Licensure & Certification · (615) 341-6641 |
| Other names | Staten Island Dialysis Center; Staten Island Dialysis Center |
| NPI enumerated | August 30, 2013 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
| Mailing address | 5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569 |
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Knickerbocker Dialysis Inc
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Knickerbocker Dialysis Inc
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