| NPI | 1346661808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHIFTEH Owner/ Director 877-372-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0904X (Licence: NY 219733) |
| Additional Taxonomies | 2084N0600X (Licence: NY 219733) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 219733) | |
| 208D00000X General Practice (Licence: NY 219733) | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |