| NPI | 1598851545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY WHITE Revenue Cycle Director 315-801-4429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 3202003H) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-07-12 |