| NPI | 1497925895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E GONWA President 516-625-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME64311) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-08-20 |