NPI | 1013915222 |
---|---|
Entity Type | Organization |
Authorized Contact | J. GANESH BHAT President 718-366-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7003247R) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2015-03-04 |