| 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 Phlebology |
| 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 |