Organization
COLUMBIA RADIOLOGY AT LAWRENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LADUE (DEPARTMENTAL ADMINISTRATOR)
(212) 305-1948
Entity
Organization
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-3058
(914) 787-3108
Mailing address
630 W 168TH ST # 28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108341
—
NJ
Enumeration date
08/27/2006
Last updated
10/11/2007
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