| NPI | 1780371740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM KOLSENIKOV Owner 718-615-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |