| NPI | 1841929460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GOMEZ Manager 718-266-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 202K00000X |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2086S0129X Surgery, Vascular Surgery | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 2471V0106X Radiologic Technologist, Vascular-Interventional Technology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |