| NPI | 1235145053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D GREEN President 518-373-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-12-10 |