| NPI | 1235122425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FOSTER Medical Director 315-703-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 108725) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2019-07-31 |