| NPI | 1063611473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE CARLIN Medical Director 718-321-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-09-28 |