Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pomona, New York. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1633 Route 202 Ste 120Pomona, NY 10970-2926
Phone: (845) 364-9101
Fax: (845) 364-9106
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 | 1629617576 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp Licensure & Certification · (615) 341-6410 |
| Other names | Half Moon Dialysis; Half Moon Dialysis |
| NPI enumerated | December 24, 2019 |
| Last updated in NPPES | November 10, 2023 |
| Certification date | November 10, 2023 |
| Mailing address | 5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569 |