| NPI | 1033093356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREMILA BHAT Managing Member 718-899-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |