| NPI | 1053362699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN IBARRA Medical Director 718-253-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |