NPI | 1083206833 |
---|---|
Entity Type | Organization |
Authorized Contact | ADITYA MATTOO Sole Member 347-284-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-12-23 |