| NPI | 1083657464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORENE KORBA Billing Manager 914-644-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 2906202R) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-07-21 |