| NPI | 1447656756 |
|---|---|
| Doing Business As | LONG ISLAND BAY SHORE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK E. CAPUTO Member 206-816-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2016-04-14 |