| NPI | 1053362699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD R TANENBAUM Medical Director 718-253-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-11-04 |