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General NPI Number Information
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NPI Number | 1083734412
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Entity Type | Organization
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Legal Business Name | NEW YORK DIALYSIS SERVICES, INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 SOUTH AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-2733
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Country | US
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Telephone | 585-341-8201
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Fax | 585-341-8352
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Provider Business Mailing Address
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Address Line | 1000 SOUTH AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-2733
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Country | US
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Telephone | 585-341-8201
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Fax | 585-341-8352
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | DR. NATHAN LEVIN
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Credential | M.D.
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Telephone | 212-360-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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