| NPI | 1942261128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJEAN LECOMPTE Office Manager 631-864-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |