| NPI | 1356357172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K MCCANDLESS Managing Member 518-235-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-11-30 |