| NPI | 1760615298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHINEAS WHITE Radiologic Technologist 646-702-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NY 211067) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |