| NPI | 1811725187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Senior Director Of Credentialing 631-751-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 2085N0904X Radiology Nuclear Radiology | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-12-05 |