Trude Weishaupt Memorial Satellite Dialysis Center

LBN: Newyork-Presbyterian-Queens
Trude Weishaupt Memorial Satellite Dialysis Center is an health care organization with primary practice located at 5928 174Th St Fresh Meadows, Fresh Meadows NY 11365-1539. 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. Newyork-Presbyterian-Queens can be contacted via phone (718) 670-1276, or through Lantos, Phyllis R.F. via phone (212) 746-7905.

Contact Information

Primary practice address
5928 174Th St Fresh Meadows Fresh Meadows NY 11365-1539
Fax:
Website:
Authorized official contact:
Name: Lantos, Phyllis R.F.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 7003010H PFI 2670 New York

Profile Details

NPI number 1023053527
LBN Legal business name Newyork-Presbyterian-Queens
DBA Doing business as Trude Weishaupt Memorial Satellite Dialysis Center
Authorized official Lantos, Phyllis R.F.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 18th, 2006
Last updated Oct 3rd, 2022 - about 3 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 1023053527 NPPES
New York Other 333547 MEDICARE PTAN
New York MEDICAID 00244133 MEDICARE PTAN

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