| NPI | 1952342701 |
|---|---|
| Doing Business As | SOUTH SHORE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | CORENE KORBA Billing Manager 914-644-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-11-24 |