| NPI | 1205957446 |
|---|---|
| Doing Business As | SOUTH QUEENS DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT SLIFKIN Owner 516-626-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-09-17 |