| NPI | 1720473895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL Q LEVIN Owner 718-510-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 183991-1) | |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2015-07-20 |