Organization
SOUTHTOWNS CATHOLIC MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J JOYCE MD (MEDICAL DIRECTOR)
(716) 662-8543
Entity
Organization
Contact information
Practice address
3669 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 662-8543
(716) 662-8590
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
(716) 649-9005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002899
—
NY
Enumeration date
02/15/2007
Last updated
08/22/2020
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