| NPI | 1790919140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD WESLEY BENTLEY Md 646-263-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 192628) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2016-04-22 |