Provider First Line Business Practice Location Address:
385 SENECA AVENUE
Provider Second Line Business Practice Location Address:
RIDGEWOOD DIALYSIS CENTER
Provider Business Practice Location Address City Name:
RIDGEWOOD GREENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-483-7442
Provider Business Practice Location Address Fax Number:
718-366-2936
Provider Enumeration Date:
10/24/2008