| NPI | 1598118176 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER J. GLEIS Owner 631-521-1961  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | 
| Enumeration Date | 2016-07-19 | 
| Last Update Date | 2016-07-19 |