| NPI | 1144752510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY J KNAPP President 646-623-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 20855R0202X) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: CA A104534) |
| 261QR0200X Clinic/Center, Radiology (Licence: CA 2085N0700X) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |