Organization
MAGNETIC IMAGING CENTER/OPEN MRI, 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
629 WASHINGTON ST, WATERTOWN, NY 13601-4035
(315) 782-2620
(315) 788-4980
Mailing address
116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2520
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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