NPI 1083640270

Knickerbocker Dialysis INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Garden City, NY

Practice location

Address: 1100 Stewart Ave STE 2, Garden City, NY 11530-4839
Phone: (516) 357-0004
Fax: (516) 357-7377
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in New York →

Registry record

NPI: 1083640270
Entity type: Organization
NPI issued: 23 Jun 2006
Record last updated: 16 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.