| NPI | 1114738358 |
|---|---|
| Doing Business As | PECONIC BAY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY Assistant Secretary 615-320-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |