| NPI | 1336428796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WISNOSKI CFO 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 222725) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |