| NPI | 1831732049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Credentialing COO Rdinator 631-751-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |