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

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1649264839

Island Rehabilitative Services/Bronx provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Bronx, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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Practice location Address checks out

1780 Grand Concourse
Bronx, NY 10457-5500
Phone: (718) 583-1800
Fax: (718) 583-4160
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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 (NY)

Record details

NPI number1649264839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominic Licciardi — Administrator · (718) 987-5942
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJuly 21, 2022
Mailing address2031 Forest Ave, Staten Island, NY 10303-1796

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Bronx