Haven Dialysis

LBN: Empire State Dc Inc
Haven Dialysis is an health care organization with primary practice located at 60 Haven Ave Ste B3, New York NY 10032-2605. 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. Empire State Dc Inc can be contacted via phone (212) 928-9071, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
60 Haven Ave Ste B3 New York NY 10032-2605
Phone: (212) 928-9071
Fax: (212) 927-2645
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1265477889
LBN Legal business name Empire State Dc Inc
DBA Doing business as Haven Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 29th, 2024 - about 9 months 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 1265477889 NPPES
New York MEDICAID 03057536

Popular Providers