# NORTH COUNTRY PRECISION MEDICAL IMAGING, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669431441
- **Authorized official:** CHRISTINE CRUMP CCSP (HIPAA COMPLIANCE OFFICER)
- **Authorized official phone:** (315) 782-2620

## Contact information

- **Practice address:** ALICE HYDE HOSPITAL, 133 PARK ST, MALONE, NY 12953
- **Practice address phone:** (315) 782-2620
- **Practice address fax:** (315) 788-4980
- **Mailing address:** 1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
- **Mailing address phone:** (315) 782-2620
- **Mailing address fax:** (315) 788-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 09/11/2025