| NPI | 1235759036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MELNICKE Manager / Member 718-344-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |