| NPI | 1811316516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DE SESA Owner 631-643-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-08-30 |