| NPI | 1992019400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MIRBABAYEVA President 347-492-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |