| NPI | 1023011285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WINAKOR Director, Managed Care 516-616-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY H98099818578) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-03-20 |