| NPI | 1710996509 |
|---|---|
| Doing Business As | MOSHOLU PARK RADIOLOGY PC |
| Entity Type | Organization |
| Authorized Contact | ANDRESITO B PACIS President 718-933-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 1252131) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: NY 1252131) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 1252131) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |