| NPI | 1205914991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M SOLOMON Executive Director 631-581-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography (Licence: NY 5154206R) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |