MAIN STREET DIALYSIS CENTER LLC
Ambulatory Health at Main St, Freeport, NY

License number
New York 052083-B
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: DR. IHEANYICHUKWU AJA-ONU M.D.
Title: MEMBER
Phone: (516) 825-2076
Address
Address 2
3 N Main St, Freeport, NY 11520
PO Box 37216, Floral Park, NY 11003
National Provider ID: 1306203609
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MAIN STREET DIALYSIS CENTER LLC at bizstanding.com

MAIN STREET DIALYSIS CENTER, LLC

3-25 N Main St, Freeport, NY 11520

Doing business as:
MAIN STREET DC, LLC
Registration:
Jul 27, 2005
State ID:
3235568
Business type:
DOMESTIC LIMITED LIABILITY COMPANY

Ambulatory Health licenses in New York









Other Doctors licenses in New York