NPI | 1528651015 |
---|---|
Other Name | ST. PETER'S INTERVENTIONAL RADIOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
2085R0202X Radiology, Diagnostic Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-02-16 |
Last Update Date | 2021-10-07 |