| NPI | 1871308379 |
|---|---|
| Other Name | PREMIER - EASTDALE AVE |
| Entity Type | Organization |
| Authorized Contact | RICHARD J FRIEDLAND President 845-790-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |