Organization
NORTHERN RADIOLOGY IMAGING CENTER, PLLC
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
1571 WASHINGTON STREET, SUITE 101, WATERTOWN, NY 13601
(315) 786-5046
(315) 786-5043
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
02/17/2021
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