| NPI | 1093723488 |
|---|---|
| Other Name | END STAGE RENAL DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7003004H) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-11-28 |