Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Manor Dialysis Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1760836126

Green Manor Dialysis Center LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in East Greenbush, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

583 Columbia Tpke
East Greenbush, NY 12061-1602 Not confirmed with CMS for 10 years — call before visiting
Phone: (518) 477-4370
Fax: (518) 477-4319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 1059202R (NY)

Record details

NPI number1760836126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Fournier — Director Of Dialysis Services · (518) 828-0717
Other names East Greenbush Dialysis
NPI enumeratedApril 21, 2016
Last updated in NPPESMay 24, 2016
Mailing address583 Columbia Tpke, East Greenbush, NY 12061-1602

Other providers in East Greenbush