| NPI | 1326993197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHANA EDERY MEDINA Registered Agent 347-695-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis |
| Enumeration Date | 2026-02-26 |
| Last Update Date | 2026-02-26 |