Organization
BERKSHIRE RADIOLOGICAL ASSOC
Active
Organization
BERKSHIRE RADIOLOGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE CAHILL (OFFICE MANAGER)
(518) 794-7216
Entity
Organization
Contact information
Practice address
501 STATE RTE 20, NEW LEBANON, NY 12125-0417
(518) 794-7216
(518) 794-0180
Mailing address
PO BOX 417, NEW LEBANON, NY 12125-0417
(518) 794-7216
(518) 794-0180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000498245001
EMPIRE BLUE SHIELD
NY
05
—
02140009
—
NY
05
—
9705350
—
MA
01
—
M17600
BLUE SHIELD MA
MA
Enumeration date
10/05/2005
Last updated
12/06/2007
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