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 |