| NPI | 1013238690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. LODESPOTO President 631-648-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |