| NPI | 1548346604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA TARANTUL Administrator 718-769-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 7001102R) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-10-10 |