| NPI | 1922283480 |
|---|---|
| Other Name | END STAGE RENAL DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-325-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2018-07-23 |