| NPI | 1558628644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MARK Medical Director 516-872-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 214773-1) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |