| NPI | 1396714622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLAUCO MARESCA President CEO 315-265-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-06-01 |