| NPI | 1891816070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WISNOSKI Vice President Finance 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-04-29 |