NPI | 1609110295 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J LODESPOTO Owner 631-446-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 207R00000X Internal Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
Enumeration Date | 2012-11-20 |
Last Update Date | 2013-12-20 |