| NPI | 1164899605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Np 631-751-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2025-01-27 |