Green Manor Dialysis Center Llc

NPI 1467445601 - Clinic/Center - 261Q00000X

NPI Details
NPI 1467445601
Enumeration Date 08/23/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VINNY VINNY
Position CEO
Phone (518) 828-0717
Fax (517) 822-0776
Practice Location
30 WHITTIER WAY
GHENT NY, 12075, US
Phone (518) 828-0717
Fax (517) 822-0776
Business Location
30 WHITTIER WAY
GHENT NY, 12075, US
Phone (518) 828-0717
Fax (517) 822-0776
Toxanomy
Taxonomy Code 261Q00000X
License State New York
License Number 1059202R
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According to our database, Green Manor Dialysis Center Llc NPI is 1467445601, taxonomy code is 261Q00000X and license number is 1059202R, license state is located at New York. Green Manor Dialysis Center Llc physically located at 30 Whittier Way, Ghent NY, 12075. NPI Number 1033115704 has the healthcare provider type.

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1467445601 NPI number is provided on an as is basis without warranty of any kind. 1467445601 is maintained by the National Plan & Provider Enumeration System. The contents of Green Manor Dialysis Center Llc are for informational purposes only.