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Organization

ST. JOSEPH'S IMAGING

Active
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Organization

ST. JOSEPH'S IMAGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANN M ROMAN MS APRN BC ANP (INTERVENTIONAL RADIOLOGY)
(315) 329-7555
Entity
Organization

Contact information

Practice address
4109 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 329-7555
(315) 329-7559
Mailing address
4109 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 329-7555
(315) 329-7559

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302135
NY

Other

Enumeration date
08/09/2006
Last updated
10/03/2011
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