| NPI | 1124753603 |
|---|---|
| Doing Business As | MASSAPEQUA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 615-320-4414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |