Daughters Of Jacob Dialysis Center Corp

LBN: Daughters Of Jacob Dialysis Center Corp
Daughters Of Jacob Dialysis Center Corp is an health care organization with primary practice located at 1160 Teller Ave , Bronx NY 10456-4145. 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. Daughters Of Jacob Dialysis Center Corp can be contacted via phone (718) 293-1500, or through Korba, Corey via phone (914) 644-9276.

Contact Information

Primary practice address
1160 Teller Ave Bronx NY 10456-4145
Phone: (718) 293-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Korba, Corey
Phone: (914) 644-9276

Health care specialties

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

Profile Details

NPI number 1548489586
LBN Legal business name Daughters Of Jacob Dialysis Center Corp
DBA Doing business as
Authorized official Korba, Corey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1548489586 NPPES
New York MEDICAID 02684059

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