| NPI | 1598099731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WEXLER Member 718-594-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: PA 3050182) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |