| NPI | 1154169613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIO CIPRIANO DA FONSECA LANES Manager 646-785-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |