| NPI | 1992427231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BABAYEV CEO 516-469-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-10-28 |