Organization
VALATIE IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAO KUNCHALA MD (PRESIDENT)
(518) 758-7786
Entity
Organization
Contact information
Practice address
1301 RIVER ST, VALATIE, NY 12184-9694
(518) 758-7786
Mailing address
PO BOX 1123, LATHAM, NY 12110-0079
(800) 357-4829
(518) 786-1293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/14/2005
Last updated
08/22/2020
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