| NPI | 1083729172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SHAPIRO Owner 718-253-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 1902311) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |