| NPI | 1578744785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NODARI MIKHELASHVILI Doctor 718-279-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |