| NPI | 1902937097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULA DIKEAKOS Facility Manager 718-339-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |