| NPI | 1205876067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI L WHITE Practice Administrator 315-986-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-02-07 |