| NPI | 1285704817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOYA MAKSUMOVA Owner 718-616-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 114166) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |