| NPI | 1861581654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L BROWN Administrative Director 631-666-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-20 |