NPI | 1255417275 |
---|---|
Doing Business As | KINGS HARBOR DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | MORRIS TENENBAUM Member 718-320-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7000268R) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-01-02 |