Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Riverhead, 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
700 Old Country Rd Ste 4Riverhead, NY 11901-2129
Phone: (631) 208-0282
Fax: (631) 208-0129
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 | 1679148084 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp, Licensure & Certification · (615) 341-6641 |
| Other names | Peconic Bay Dialysis; Peconic Bay Dialysis |
| NPI enumerated | May 26, 2021 |
| Last updated in NPPES | December 29, 2023 |
| Certification date | December 29, 2023 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
Other providers in Riverhead
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Central Suffolk Hospital
1300 Roanoke Ave, Riverhead, NY 11901-2031 · (631) 548-6000
-
East End Dialysis Management, LLC
792 Harrison Ave S Bldg, Riverhead, NY 11901-2744 · (718) 483-7440
-
True North VI DC LLC
700 Old Country Rd Ste 4, Riverhead, NY 11901-2129 · (631) 208-0282