| NPI | 1548792567 |
|---|---|
| Doing Business As | MASSAPEQUA DIAGNOSTIC IMAGING GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH MILONE President 516-852-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: NY X008298-1) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |