| NPI | 1225195043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDEZ Radiology Chair 718-963-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 007305) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |