Organization
ONTARIO RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAKTASH BOOTORABI MD (MD/OWNER)
(315) 462-9561
Entity
Organization
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(716) 689-1901
(716) 564-0209
Mailing address
405 N FRENCH RD, SUITE 104, AMHERST, NY 14228-2010
(716) 689-1901
(716) 564-0209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
05/08/2017
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