NPI 1194760702

Knickerbocker Dialysis INC.

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Cortlandt Manor, NY

Practice location

Address: 2050 E Main St STE 15, Cortlandt Manor, NY 10567-2502
Phone: (914) 788-9326
Fax: (914) 788-9330
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel Wey
Title: Assistant Secretary
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: 1194760702
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 18 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.