| NPI | 1922045863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CRUMP Hipaa Compliance Officer 315-782-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |