| NPI | 1194812479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WISNOSKI Vice President Finance 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-04-29 |