Organization
SEAWAY RADIOLOGY PC
Active
Organization
SEAWAY RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI M GHARAGOZLOO M.D. (MEDICAL DIRECTOR OF GROUP)
(315) 393-1215
Entity
Organization
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-2511
Mailing address
27 DOCKSIDE DR # 27, MORRISTOWN, NY 13664-3231
(315) 482-2511
(315) 482-2015
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
198556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02728623
—
NY
Enumeration date
09/07/2005
Last updated
04/09/2024
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