NPI | 1053942797 |
---|---|
Entity Type | Organization |
Authorized Contact | LEV PUKIN Authorized Official 718-737-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2020-01-31 |
Last Update Date | 2020-10-31 |