| NPI | 1952667438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V MOSS CEO/Owner 631-561-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |