| NPI | 1669834297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MASTER Owner 718-268-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NY 211094-1) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |