Organization
SOUTHTOWNS RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J JOYCE M.D. (PRESIDENT)
(716) 649-9000
Entity
Organization
Contact information
Practice address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
(716) 649-9005
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026681804
UNIVERA
NY
01
—
000508387008
BCBS WESTERN NY
NY
05
—
03069821
—
NY
01
—
040426000332
FIDELIS
NY
01
—
146156FF
PREFERRED CARE
—
01
—
CE8352
RAILROAD MEDICARE
NY
Enumeration date
03/06/2007
Last updated
01/13/2015
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