| NPI | 1609271881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRILL VESSELOV President 718-730-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2025-01-03 |