Upstate Radiology, PC

NPI #1508241878 in Watertown, New York

Provider Information

NPI Number: 1508241878
Entity Type: Organization
Organization Name: Upstate Radiology, PC
Primary Specialty: Specialist
Enumeration Date: Jul 28, 2015
Last Updated: Jul 28, 2015

Practice Location

Address: 1116 ARSENAL ST STE 504
City: Watertown
State: New York
ZIP Code: 13601-2229
Phone: (315) 782-2669

Authorized Official

Name: DR. GLAUCO MICHAEL MARESCA, M.D.
Title: OWNER
Phone: (315) 782-2669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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