Organization
WATERTOWN BREAST IMAGING CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CRUMP CCSP (HIPAA COMPLIANCE OFFICER)
(315) 782-2620
Entity
Organization
Contact information
Practice address
428 WASHINGTON ST, WATERTOWN, NY 13601-3736
(315) 782-2620
(315) 788-4980
Mailing address
1116 ARSENAL ST, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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