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

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1639609787

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Buffalo, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

520 Ellicott St Ste 100
Buffalo, NY 14203-1550
Phone: (716) 845-5101
Fax: (716) 845-5106
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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 · Licence 7000272R (NY)

Record details

NPI number1639609787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Winstel — Chief Accounting Officer · (253) 733-4501
Other names Buffalo Downtown Dialysis; Buffalo Downtown Dialysis
NPI enumeratedJune 12, 2017
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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