Mohawk Glen Imaging Pc in Rome - Diagnostic Radiology

Mohawk Glen Imaging Pc - NPI 1427040781

Mohawk Glen Imaging Pc is a Diagnostic Radiology in Rome, New York. Mohawk Glen Imaging Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mohawk Glen Imaging Pc is 1427040781. The last update date is 2009-12-14.

Mohawk Glen Imaging Pc's current location address is Po Box 669, Rome, New York. You can contact this provider via phone number 3153397965 and fax number 3157090288. The mailing address for Mohawk Glen Imaging Pc is Po Box 669, Rome, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mohawk Glen Imaging Pc
Address Po Box 669, Rome, New York
Phone Number 3153397965
Fax Number 3157090288
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DEPARTMENT
Authorized Official Name Burgreen Lawrence
Credentials M.D.
Telephone Number 3153349729

NPI Number Detail

NPI Number 1427040781
Provider Enumeration Date 2005-08-22
Last Updated Date 2009-12-14

Provider Mailing Address Detail

Address Po Box 669
City Rome
State New York (NY)
Post Code 134420669
Phone Number 3153397965
Fax Number 3157090288

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 153927
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Mohawk Glen Imaging Pc

What is the unique 10-digit identification code issued to Mohawk Glen Imaging Pc by the Centers for Medicare & Medicaid Services?

The Mohawk Glen Imaging Pc has been assigned the NPI (National Provider Identifier) 1427040781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mohawk Glen Imaging Pc?

The Mohawk Glen Imaging Pc is physically situated at Po Box 669, in the city of Rome, state of NY, with the postal code 134420669.

What is the Mohawk Glen Imaging Pc's specialty and taxonomy code?

The Mohawk Glen Imaging Pc's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1427040781 to Mohawk Glen Imaging Pc?

The Centers for Medicare & Medicaid Services originally issued the 1427040781 to Mohawk Glen Imaging Pc on 2005-08-22.

When was the information pertaining to Mohawk Glen Imaging Pc most recently updated or revised?

The details related to Mohawk Glen Imaging Pc, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-14.

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