| NPI | 1376920496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CACERES Owner 201-492-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NY 122536) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |