| NPI | 1942727516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARIO MARTINEZ Member 845-705-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME97951) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-06-27 |