| NPI | 1659813814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANG PAN Chief Administrative Officer 718-790-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: AZ 99018) |
| 2471S1302X Radiologic Technologist, Sonography (Licence: AZ 99018) | |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: AZ 99018) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2025-02-04 |