| NPI | 1588081889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP ALBERT Medical Director 631-338-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 222985) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-05-27 |