| NPI | 1972552727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LAROSA President 516-887-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246X00000X Specialist/Technologist Cardiovascular |
| Additional Taxonomies | 246XS1301X Specialist/Technologist Cardiovascular Sonography |
| 246Z00000X Specialist/Technologist, Other | |
| 246ZE0500X Specialist/Technologist, Other EEG | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |