| NPI | 1598756181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BONAN President 518-798-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NY 56016688) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-07-23 |