| NPI | 1821361312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE BROWN Practice Administrator 718-362-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 219737) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 219737) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2022-02-15 |