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Organization
NORTH COUNTRY PRECISION MEDICAL IMAGING, PC
Active
Organization
NORTH COUNTRY PRECISION MEDICAL IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CRUMP CCSP (HIPAA COMPLIANCE OFFICER)
(315) 782-2620
Entity
Organization
Contact information
Practice address
ALICE HYDE HOSPITAL, 133 PARK ST, MALONE, NY 12953
(315) 782-2620
(315) 788-4980
Mailing address
1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/21/2006
Last updated
09/11/2025
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