Organization
RIDGEWOOD DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL KOTHARI MD (OWNER)
(585) 723-0111
Entity
Organization
Contact information
Practice address
120 ERIE CANAL DR, ROCHESTER, NY 14626-4607
(585) 723-0111
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
141316
NY
Other
Enumeration date
04/14/2006
Last updated
08/22/2020
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