| NPI | 1679890131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A VAKSMAN President 347-554-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |