Organization
NORTHERN RADIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SUE BISIG (CHIEF OPERATING OFFICER)
(315) 786-5047
Entity
Organization
Contact information
Practice address
120 WASHINGTON ST STE 406, WATERTOWN, NY 13601-3330
(315) 786-5047
(315) 786-5010
Mailing address
120 WASHINGTON ST STE 406, WATERTOWN, NY 13601-3330
(315) 786-5047
(315) 786-5010
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/17/2006
Last updated
02/17/2021
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