| NPI | 1205186079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE V ALLEN Billing Office Manager 585-417-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |