Grand Concourse Dialysis Facility
Director
Morton J. Kleiner, M.D.
Expiration Date
Phone Number
(718) 583-1800
UID (Facility ID - Site ID)
T452-0000
Site ID
0000
City
Bronx
CLIA Number
33D2047484
Street Address
1780 Grand Concourse
State
NY
Zip Code
10457
County
Bronx
Country
United States
Fax Number
(718) 583-4160
Primary Contact
Dominic Licciardi
Contact Phone Number
(718) 987-5942
Certificate Type
WAIVER
Tests
Glucose
Facility ID
T452