| NPI | 1245291418 |
|---|---|
| Other Name | CLIFFSIDE RENAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JACK DEUTSCH Administrator 718-886-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7003266R) |
| Additional Taxonomies | 261Q00000X (Licence: NY 7003226R) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-05-29 |