| NPI | 1215928981 |
|---|---|
| Doing Business As | UPPER EASTSIDE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | DOMINIC LICCIARDI Administrator 718-987-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7002180R) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-10-12 |