KNICKERBOCKER DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Staten Island, NY. KNICKERBOCKER DIALYSIS INC NPI is 1245731876. The provider is registered as an organization entity type.
The provider Is Doing Business As Staten Island South Dialysis.
The provider's business location address is:
30 SNEDEN AVE
STATEN ISLAND, NY
ZIP 10312-637
Phone: (718) 356-2678
Fax: (718) 356-6376
The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 33D2162376 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/28/2018 and was last updated on 12/13/2023.