| NPI | 1184104903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHIFTEH Director 917-804-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 219733) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-09-15 |