KNICKERBOCKER DIALYSIS INC

NPI # 

Practice Address:

1139 Hylan Blvd

Staten Island, NY, 10305-2061

Practice Phone:

718-816-4913

Practice Fax:

718-816-6340

License Number:

7000272R

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X