| NPI | 1831430990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODUMUTT GANESH BHAT Co Principal 718-483-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |