| NPI | 1710186903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISH N DESAI Director 718-990-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0203X Radiology Therapeutic Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |