| NPI | 1457373359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J KINDOS-CARBERRY Unit Administrator 917-576-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 332322) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |