Organization
ALI M GHARAGOZLOO MD PC
Active
Organization
ALI M GHARAGOZLOO MD PC
Active
Other names
Diagnostic & Interventional Radiology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI M GHARAGOZLOO M.D. (MEDICAL DIRECTOR OF GROUP)
(315) 393-3600
Entity
Organization
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Mailing address
27 DOCKSIDE DR # 27, MORRISTOWN, NY 13664-3231
(315) 393-3600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
198556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02728641
—
NY
Enumeration date
08/26/2005
Last updated
10/29/2024
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