Kew Gardens Dialysis Center

LBN: Queens Replacement Llc
Kew Gardens Dialysis Center is an health care organization with primary practice located at 12046 Queens Blvd , Kew Gardens NY 11415-1204. 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. Queens Replacement Llc can be contacted via phone (718) 793-3341, or through Licciardi, Dominic via phone (718) 987-5942.

Contact Information

Primary practice address
12046 Queens Blvd Kew Gardens NY 11415-1204
Phone: (718) 793-3341
Fax: (718) 268-1666
Website:
Map and Directions
Authorized official contact:
Name: Licciardi, Dominic
Phone: (718) 987-5942

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 7003264R New York

Profile Details

NPI number 1548251218
LBN Legal business name Queens Replacement Llc
DBA Doing business as Kew Gardens Dialysis Center
Authorized official Licciardi, Dominic
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 30th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548251218 NPPES
New York MEDICAID 02718005

Popular Providers