Organization
VALCOUR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOLODYMYR I BULA MD (MANAGING PARTNER)
(518) 563-1900
Entity
Organization
Contact information
Practice address
16 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6451
(518) 563-1900
(518) 563-2600
Mailing address
16 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6451
(518) 563-1900
(518) 563-2600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
0901204R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00281925
RAILROAD MEDICARE
NY
Enumeration date
05/18/2006
Last updated
10/15/2007
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