Organization
ADIRONDACK ADVANCE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY GOYAL M.D. (OWNER)
(518) 278-4334
Entity
Organization
Contact information
Practice address
3 EMMA LN, CLIFTON PARK, NY 12065-3763
(518) 278-4334
Mailing address
3 EMMA LN, CLIFTON PARK, NY 12065-3763
(518) 278-4334
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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