Northtowns Dialysis Center

LBN: Knickerbocker Dialysis Inc
Northtowns Dialysis Center is an health care organization with primary practice located at 4041 Delaware Ave Ste 150, Tonawanda NY 14150-6828. 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 (716) 871-8103, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
4041 Delaware Ave Ste 150 Tonawanda NY 14150-6828
Phone: (716) 871-8103
Fax: (716) 871-8107
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 1902142607
LBN Legal business name Knickerbocker Dialysis Inc
DBA Doing business as Northtowns Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2012
Last updated Dec 29th, 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 1902142607 NPPES
New York MEDICAID 03010079

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