Organization
CMI PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LOUIS FOSSACECA RT R MR (BUSINESS MANAGER)
(315) 792-4666
Entity
Organization
Contact information
Practice address
107 BUSINESS PARK DR, UTICA, NY 13502-6303
(315) 792-4666
(315) 792-9698
Mailing address
PO BOX 625, NEW HARTFORD, NY 13413-0625
(315) 798-1893
(315) 724-3207
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01647929
—
NY
Enumeration date
07/15/2006
Last updated
07/09/2020
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