| NPI | 1881860047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTA M DIAZ Director Of Billing 718-448-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2009-01-13 |