| NPI | 1962603308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AMOS Account Specialist 845-363-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 273142RMD) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-13 |