| NPI | 1174884191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J LODISPOTO Md/Owner 631-446-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 171063) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-07 |