Organization
SILVER LAKE MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANNE OLIVERIO MD (OWNER)
(585) 786-1262
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-1262
(585) 786-1251
Mailing address
PO BOX 150, WARSAW, NY 14569-0150
(716) 692-2160
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02368101
—
NY
Enumeration date
05/05/2006
Last updated
10/15/2007
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