| NPI | 1134289234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CARILLO Administrator 631-271-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-03-03 |