| NPI | 1942261128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJEAN LECOMPTE Office Manager 631-864-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085N0700X | |
| 2085N0904X | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2025-09-11 |