| NPI | 1861856262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BETZ Practice Manager 631-385-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |