| NPI | 1366497448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE S GOULD Chair Person 631-444-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-07-06 |