Organization
CUBA RADIOLOGY SERVICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS A HORSLEY MD (OWNER)
(716) 968-2000
Entity
Organization
Contact information
Practice address
140 W MAIN ST, CUBA, NY 14727-1317
(716) 692-3302
(716) 692-4342
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730183
—
NY
Enumeration date
07/01/2006
Last updated
10/15/2007
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