| NPI | 1669512406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LAWRENCE BALDASAR Medical Director 718-368-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |