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Organization
UPSTATE RADIOLOGY, PC
Active
Organization
UPSTATE RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLAUCO MICHAEL MARESCA M.D. (OWNER)
(315) 782-2669
Entity
Organization
Contact information
Practice address
1116 ARSENAL ST STE 504, WATERTOWN, NY 13601-2229
(315) 782-2669
Mailing address
1116 ARSENAL ST STE 504, WATERTOWN, NY 13601-2229
(315) 782-2669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
177246
NY
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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