| NPI | 1386034668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA P TOBON Owner 646-519-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |