Port Washington Dialysis Center

LBN: Knickerbocker Dialysis Inc
Port Washington Dialysis Center is an health care organization with primary practice located at 50 Seaview Blvd , Port Washington NY 11050-4618. 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. Knickerbocker Dialysis Inc can be contacted via phone (516) 484-3460, or through Hilger, James K via phone (253) 733-4500.

Contact Information

Primary practice address
50 Seaview Blvd Port Washington NY 11050-4618
Phone: (516) 484-3460
Fax: (516) 484-7949
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 733-4500

Health care specialties

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

Profile Details

NPI number 1902841513
LBN Legal business name Knickerbocker Dialysis Inc
DBA Doing business as Port Washington Dialysis Center
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated May 8th, 2015 - about 11 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 1902841513 NPPES
New York MEDICAID 03049052

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