| NPI | 1316457518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HARRY BRUCKSTEIN Md/President 516-268-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology (Licence: NY 105427) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |