| NPI | 1508100140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W. WOOD Radiologist 518-372-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 149212) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |