| NPI | 1881047819 |
|---|---|
| Doing Business As | IMAGECARE PARK SOUTH |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 248413) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |