East Greenbush Dialysis

LBN: Green Manor Dialysis Center Llc
East Greenbush Dialysis is an health care organization with primary practice located at 583 Columbia Tpke , East Greenbush NY 12061-1602. 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. Green Manor Dialysis Center Llc can be contacted via phone (518) 477-4370, or through Fournier, Edward via phone (518) 828-0717.

Contact Information

Primary practice address
583 Columbia Tpke East Greenbush NY 12061-1602
Phone: (518) 477-4370
Fax: (518) 477-4319
Website:
Map and Directions
Authorized official contact:
Name: Fournier, Edward RN,CNN
Phone: (518) 828-0717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 1059202R New York

Profile Details

NPI number 1760836126
LBN Legal business name Green Manor Dialysis Center Llc
DBA Doing business as East Greenbush Dialysis
Authorized official Fournier, Edward RN,CNN
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2016
Last updated May 24th, 2016 - about 10 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 1760836126 NPPES
New York MEDICAID 01687094

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