| NPI | 1710181102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE KATHERINE SKIBO President 518-584-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2166201) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-10-01 |