Utica Avenue Dialysis Center

LBN: Empire State Dc Inc
Utica Avenue Dialysis Center is an health care organization with primary practice located at 1305 Utica Ave , Brooklyn NY 11203-5911. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Empire State Dc Inc can be contacted via phone (718) 629-3900, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
1305 Utica Ave Brooklyn NY 11203-5911
Phone: (718) 629-3900
Fax: (718) 629-6315
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1366478919
LBN Legal business name Empire State Dc Inc
DBA Doing business as Utica Avenue Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 3rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366478919 NPPES
New York MEDICAID 01555022

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