| NPI | 1972228039 |
|---|---|
| Other Name | JASPAN RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | RICHARD J FRIEDLAND President 845-790-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-05-09 |