DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MILLS POND DIALYSIS CENTER, LLC

MEDICARE: MILLS POND DIALYSIS CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1332731OTHERCCN

General Provider Information

NPI Number : 1962809632
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLS POND DIALYSIS CENTER, LLC
Provider Business Mailing Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number : 516-422-4800
Fax Number :
Authorized Official
Title or Position : MANAGER / MEMBER
Name : PASQUALE DEBENEDICTIS
Credential :
Telephone Number : 516-422-7818
Provider Enumeration Date : 11/24/2014
Last Update Date : 06/12/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908
Practice Phone: 301-816-6660
Practice Fax: 301-816-6308
1235138165 — PALJR LLC
Practice Location Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
11704-8027
Practice Phone: 631-422-4800
Practice Fax: 631-422-1371
1396790556 — DONALD MONACO PH.D.
Practice Location Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
11704-8027
Practice Phone: 631-422-4800
Practice Fax: 631-422-6484
1952684656 — DONG JOO CHA PHARM. D
Practice Location Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
11704-8027
Practice Phone: 631-321-3850
Practice Fax:
1104100643 — XUN GONG RPH
Practice Location Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
11704-8027
Practice Phone: 631-321-3850
Practice Fax: 631-410-0229
1790217008 — DR. ADEEL MALIK DO
Practice Location Address:
134 GREAT EAST NECK RD
WEST BABYLON, NY
11704-8027
Practice Phone: 631-422-4800
Practice Fax:

Directions to “MILLS POND DIALYSIS CENTER, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.