| Organization Name: | CHENANGO DIAGNOSTIC IMAGING,PLLC |
| NPI Number: | 1013224815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE JOEL ROSENBLUM (PARTNER) |
| Mailing Address: | 6 Newton Ave Norwich |
| State: | NY US |
| Postal Code: | 138151155 |
| Phone Number: | 6073347144 |
| Fax Number: | 6073347054 |
| NPI Enumeration Date: | 09/01/2010 |
| NPI Last Update Date: | 09/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 08021632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |