| NPI | 1972562239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN POHLMAN VP Finance 631-862-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-11-17 |