Organization
ADIRONDACK ADVANCE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY GOYAL M.D. (OWNER)
(518) 409-8811
Entity
Organization
Contact information
Practice address
375 BAY RD, SUITE 101, QUEENSBURY, NY 12804-3012
(518) 409-8811
(518) 409-8814
Mailing address
375 BAY RD, SUITE 101, QUEENSBURY, NY 12804-3012
(518) 409-8811
(518) 409-8814
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
12/15/2010
Last updated
08/13/2014
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