Knickerbocker Dialysis INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY. Organization (NPI-2).
NPI number1669959953
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1669959953
- Entity type
- Organization (NPI-2)
- Legal business name
- Knickerbocker Dialysis INC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2018
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Flatlands Dialysis (Doing Business As)
Practice location
1641 E 16th StFl 5
Brooklyn, NY 11229-1107
Phone 718-645-1615 · Fax 718-645-9263
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Assistant Secretary
6153416641
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