Organization · Type 2 NPI
Telerad of Ny Account Management
Diagnostic Radiology Physician · Clarence, NY
NPI number
1790016616
Active
Practice location
9523 Lakeside Ct.
Clarence, NY 14031-0000
Fax (214) 712-2487
Mailing address
13737 Noel Rd, Suite 1600
Dallas, TX 75240-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1790016616
Telerad of Ny Account Management's National Provider Identifier is 1790016616, issued on Jan 15, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Clarence, NY. The record was last updated on Jul 24, 2012.