| 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 |