| NPI | 1275931644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EDELSTEIN Manager 718-888-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2024-08-14 |