Organization
CENTRAL NEW YORK PET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN B FOSTER M.D. (DIRECTOR OF OPERATIONS)
(315) 452-2555
Entity
Organization
Contact information
Practice address
5100 W TAFT RD, SUITE 2C, LIVERPOOL, NY 13088-3807
(315) 452-2666
(315) 452-2669
Mailing address
4567 CROSSROADS PARK DR, 2ND FLOOR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
108725
NY
Other
Enumeration date
08/19/2005
Last updated
08/22/2020
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