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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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