| NPI | 1790701167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOUIS FOSSACECA Business Manager 315-792-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-07-09 |