RENAL CARE OF NORTHERN NEW YORK, LLC


Address: 19320 Washington Street, Suite II, Watertown, NY 13601
Phone: 7162822200

RENAL CARE OF NORTHERN NEW YORK, LLC (NPI# 1598839540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598839540
Entity Type Organization
Organization Name RENAL CARE OF NORTHERN NEW YORK, LLC
Practice Address 19320 Washington Street
Suite II
Watertown
NY 13601
Mailing Address 3510 Hyde Park Blvd
Niagara Falls
NY 14305-2204
Practice Telephone 7162822200
Mailing Telephone 7162822200
Enumeration Date 2006-11-20
Last Update Date 2020-08-22
Authorized Official Name MICHAEL SLOMA (PRESIDENT)
Authorized Official Telephone 7162822200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Office Location

Street Address 19320 WASHINGTON STREET
SUITE II
City WATERTOWN
State NY
Zip Code 13601

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1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1366538514 Total Renal Care, Inc. Clinic/Center 506 1st Ave Se, Watertown, SD 57201-4402 2006-10-05
1124056742 Prairie Lakes Health Care Systems Inc Clinic/Center 401 9th Ave Nw, Watertown, SD 57201-1548 2006-06-30

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1205461639 Knickerbocker Dialysis Inc Clinic/Center 1277 Middle Country Rd, Middle Island, NY 11953 2020-03-05
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1629617576 Knickerbocker Dialysis Inc Clinic/Center 1633 Route 202 Ste 120, Pomona, NY 10970-2926 2019-12-24
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Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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