South Shore Dialysis Inc. - Bellmore

LBN: South Shore Dialysis Inc. - Bellmore
South Shore Dialysis Inc. - Bellmore is an health care organization with primary practice located at 250 Pettit Ave , Bellmore NY 11710-3657. 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. South Shore Dialysis Inc. - Bellmore can be contacted via phone (516) 679-3090, or through Korba, Corene via phone (914) 644-9276.

Contact Information

Primary practice address
250 Pettit Ave Bellmore NY 11710-3657
Phone: (516) 679-3090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Korba, Corene
Phone: (914) 644-9276

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 2906202R New York

Profile Details

NPI number 1083657464
LBN Legal business name South Shore Dialysis Inc. - Bellmore
DBA Doing business as
Authorized official Korba, Corene
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 21st, 2022 - about 2 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 1083657464 NPPES
New York MEDICAID 00803892
New York Other 009261

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