Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kew Gardens Dialysis Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1295931624

Kew Gardens Dialysis Center provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Kew Gardens, New York. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

12046 Queens Blvd
Kew Gardens, NY 11415-1204 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 793-3341
Fax: (718) 268-1666
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

Record details

NPI number1295931624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominic Licciardi — Coo · (718) 987-5942
NPI enumeratedJune 22, 2007
Last updated in NPPESApril 3, 2013
Mailing address97 New Dorp Ln, Staten Island, NY 10306-2364

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Kew Gardens