Organization
CANANDAIGUA MEDICAL GROUP X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE L BABCOCK CHRM (HUMAN RESOURCE MANAGER)
(585) 393-2888
Entity
Organization
Contact information
Practice address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Mailing address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
34005413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD777T
PREFERRED CARE
NY
01
—
P0100XRCMG
BLUE CHOICE
NY
Enumeration date
02/08/2007
Last updated
08/22/2020
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