Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Deer Park, New York. Medicare rates this dialysis facility 4 out of 5. Registered with an NPI since 2019.
- CMS rating
- 4 of 5
- In the registry since
- 2019
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
860 Grand BlvdDeer Park, NY 11729-5706
Phone: (631) 243-7770
Fax: (631) 243-7775
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 | 1386205714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Grand Boulevard Dialysis; Grand Boulevard Dialysis |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | July 14, 2021 |
| Certification date | July 14, 2021 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
Other providers in Deer Park
-
True North III DC LLC
860 Grand Blvd, Deer Park, NY 11729-5706 · (631) 243-7770