| NPI | 1811337256 |
|---|---|
| Doing Business As | HOLLIS DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | GARAUDY ROGER ANTOINE President / Administrator 516-473-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 202469) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2013-06-30 |