| NPI | 1861883134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHIFTEH Director 917-804-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME121852) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |