| NPI | 1306811104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD WAXMAN Director Of Operations 631-694-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 2004-17825) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-02-20 |