| NPI | 1972502151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA ZWEIMAN Administrator 914-644-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 22515) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-04-01 |