| NPI | 1336214139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MAYER VP Managed Care & Credentialing 631-952-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |