| NPI | 1194085662 |
|---|---|
| Doing Business As | ROCKAWAY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | OLUSEGUN OGUNFOWORA CEO 718-327-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 206115) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-07-17 |