| NPI | 1881076099 |
|---|---|
| Doing Business As | HICKSVILLE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R. FAWCETT Senior VP And Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-08-23 |