Organization
MOHAWK VALLEY OPEN MRI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE BURGREEN M.D. (DEPARTMENT HEAD)
(315) 339-2671
Entity
Organization
Contact information
Practice address
1819 BLACK RIVER BLVD N, ROME, NY 13440-2427
(315) 339-2671
Mailing address
PO BOX 669, ROME, NY 13442-0669
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
153927
NY
Other
Enumeration date
08/31/2005
Last updated
09/12/2007
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