| NPI | 1609800432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MINARCIK VP Revenue Enhancement 718-488-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-07-31 |