Huntington Artificial Kidney Center Ltd
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Medford, NY. Organization (NPI-2).
NPI number1487682134
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1487682134
- Entity type
- Organization (NPI-2)
- Legal business name
- Huntington Artificial Kidney Center Ltd
- Organization subpart
- No
- Enumeration date
- Jun 30, 2006
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 5153202R | NY | Yes |
Other names
- Medford Kidney Center (Doing Business As)
Practice location
1725 N Ocean AveMedford, NY 11763-2649
Phone 631-289-8000 · Fax 631-289-8079
Mailing address
5200 Virginia WayL & C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Assistant Secretary
6153416641
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