| NPI | 1801065388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVENDRA SHRIVASTAVA Md 516-698-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-08-16 |