Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1457774002

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Amityville, New York. Registered with an NPI since 2014.

In the registry since
2014
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

3460 Great Neck Rd
Amityville, NY 11701-1915
Phone: (631) 532-6969
Fax: (631) 532-6968
Show map & directions

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 number1457774002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Long Island Renal Care; Long Island Renal Care
NPI enumeratedJanuary 31, 2014
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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