| NPI | 1225104979 |
|---|---|
| Doing Business As | BETHPAGE OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MAYER VP, Managed Care & Credentialing 516-579-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-07-21 |