| NPI | 1669455457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEKS GOLO Administrator 718-848-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: NJ 25MA03219200) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2007-10-24 |