| NPI | 1538575550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIANQING ZHANG Owner 718-869-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 273276) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 273276) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: NY 273276) | |
| 208D00000X General Practice (Licence: NY 273276) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |