| 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 |