Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Laurelton, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
22126 Merrick BlvdLaurelton, NY 11413-2016
Phone: (929) 822-4076
Fax: (929) 822-4096
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 |
|---|
Record details
| NPI number | 1518634872 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Davita Inc |
| Authorized official | John Winstel — Vice President · (253) 733-4501 |
| Other names | Merrick Boulevard Dialysis |
| NPI enumerated | August 25, 2021 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 4, 2021 |
| Mailing address | 5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569 |