| NPI | 1750370805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUE BISIG Chief Operating Officer 315-786-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-02-17 |