Organization Name: | ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY |
NPI Number: | 1114933934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL D. GREEN (PRESIDENT) |
Mailing Address: | 375 Bay Rd Queensbury |
State: | NY US |
Postal Code: | 128043012 |
Phone Number: | 5187921700 |
Fax Number: | 5187921711 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |