| NPI | 1295008688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASAN AZAR President/Owner 516-732-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 194192) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NY 194192) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |