| NPI | 1962566000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FARRELL Administrator 631-513-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) |
| 2085B0100X Radiology Body Imaging | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-06-30 |