| NPI | 1619103470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MIRBABAYEVA Manager 347-492-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2011-09-01 |