| NPI | 1629220108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECK DZIE Database Administrator 212-620-0340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NY 7002161R) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2022-02-17 |