| NPI | 1811262447 |
|---|---|
| Doing Business As | NORTHEAST ADVANCED IMAGING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. WHALEN Director Of Administration 518-435-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-28 |