| NPI | 1083999841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDDHARTH PRAKASH Owner/Medical Director 718-494-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 243250-1) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2014-10-23 |