| NPI | 1508534470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMAN ILKHANIZADEH Owner 718-799-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |