| NPI | 1831196054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS D'AMBROSIO Authorized Official 315-362-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2024-02-19 |