| NPI | 1679733083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG THOMAS MARTIN CIO 607-737-4511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-25 |