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 1770528432

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Queens Village, New York. Registered with an NPI since 2006.

In the registry since
2006
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

22202 Hempstead Ave Ste 170
Queens Village, NY 11429-2123
Phone: (718) 217-6200
Fax: (718) 217-4191
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 number1770528432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Queens Village Dialysis Center; Queens Village Dialysis Center
NPI enumeratedJune 18, 2006
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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