| NPI | 1043328354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRTUDES REYES Credentialing Coordinator 212-305-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2016-06-13 |