| Organization Name: | NEWTOWN DIALYSIS CENTER, INC |
| NPI Number: | 1013915222 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J. GANESH BHAT (PRESIDENT) |
| Mailing Address: | 2920 Newtown Ave Astoria |
| State: | NY US |
| Postal Code: | 111022129 |
| Phone Number: | 7187282222 |
| Fax Number: | 7189321236 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 7003247R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |