| NPI | 1083964712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E BEYDA Medical Director 516-495-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 219543) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |