| NPI | 1922032150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC PRAGER Medical Director 718-931-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY H90 1185210 83 NY) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NY 91-3255-01) | |
| 2085B0100X Radiology, Body Imaging | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 91-3255-01) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-03 |