| NPI | 1760435291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DAVID GROSSMAN President 845-471-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 186503) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-03-26 |