| NPI | 1457774002 |
|---|---|
| Doing Business As | LONG ISLAND RENAL CARE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY Sr Dir, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2023-08-10 |