| NPI | 1568708378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY CHU Billing Manager 718-321-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NY 192628) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |