| NPI | 1083002448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DE MARCO Owner 347-702-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 177726-5) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |