Organization
ONEIDA MEDICAL IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH STEVENS M.D. (DIRECTOR OF OPERATIONS)
(315) 361-4300
Entity
Organization
Contact information
Practice address
578 SENECA ST, ONEIDA, NY 13421-2600
(315) 361-4300
(315) 361-4372
Mailing address
578 SENECA ST, ONEIDA, NY 13421-2600
(315) 361-4300
(315) 361-4372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
173011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01998585
—
NY
Enumeration date
08/19/2005
Last updated
09/12/2007
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