Individual
JULIAN INFANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 BETTY CT, RIDGEWOOD, NJ 07450-2026
(201) 681-5920
Mailing address
6 BETTY CT, RIDGEWOOD, NJ 07450-2026
(201) 681-5920
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
R000185-1
NY
247100000X
Radiologic Technologist
473120
NY
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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