Lynbrook Dialysis Center

LBN: Knickerbocker Dialysis Inc
Lynbrook Dialysis Center is an health care organization with primary practice located at 147 Scranton Ave , Lynbrook NY 11563-2808. 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. Knickerbocker Dialysis Inc can be contacted via phone (516) 596-4101, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
147 Scranton Ave Lynbrook NY 11563-2808
Phone: (516) 596-4101
Fax: (516) 596-4290
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 1801822929
LBN Legal business name Knickerbocker Dialysis Inc
DBA Doing business as Lynbrook Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 9th, 2023 - about last year

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 1801822929 NPPES
New York MEDICAID 03049061

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