ROCKAWAY KIDNEY CENTER LLC

FAR ROCKAWAY, NY
NPI1669925533
Entity TypeOrganization
Authorized ContactOLUSEGUN OGUNFOWORA
Md
516-770-5712
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center Medical Specialty
Enumeration Date2016-07-27
Last Update Date2016-07-27
Business Address
ROCKAWAY KIDNEY CENTER LLC
529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3645
Phone number: 516-770-5712
Mailing Address
ROCKAWAY KIDNEY CENTER LLC
529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3645
Phone number: 516-770-5712