| NPI | 1447492079 |
|---|---|
| Former Legal Business Name | LONG ISLAND R C INC |
| Entity Type | Organization |
| Authorized Contact | ANDREY GONCHARUK President 631-532-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 5120201R) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2010-01-27 |