| NPI | 1538348057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DENISE Sole Member 718-368-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 157428) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 157428) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 157428) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-06-01 |