| NPI | 1003263880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE JUDITH FASANO President 718-207-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: NY 109145) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |