Doctor Name: | DR. EDWARD RANDOLPH NOBLE |
NPI Number: | 1063404820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 199779 |
Business Practice Address: | 5100 W Taft Rd Suite 2a Liverpool, NY - 130883807 |
Business Phone Number: | 3154522555 |
Business Fax Number: | 3154522559 |
Mailing Address: | 4567 Crossroads Park Dr, 2nd Floor LIVERPOOL |
State: | NY |
Postal Code: | 130883589 |
Phone Number: | 3152952100 |
Fax Number: | 3152952125 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 199779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |