NPI | 1235407792 |
---|---|
Doing Business As | SAME |
Entity Type | Organization |
Authorized Contact | ELIZABETH DARZYNKIEWICZ Physician Radiologist 914-962-3815 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 136560) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2012-02-13 |