| NPI | 1417906462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CAPITULO Billing Coordinator 718-802-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 145027) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |