| NPI | 1609992817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE SELBY Director Of Patient Accounting 718-488-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |