Southern Tier Imaging

LBN: Park Avenue Associates In Radiology Pc
Southern Tier Imaging is an health care organization with primary practice located at 32-36 Harrison St , Johnson City NY 13790-2122. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Park Avenue Associates In Radiology Pc can be contacted via phone (607) 763-6104, or through Santelli, Edward via phone (607) 729-2125.

Contact Information

Primary practice address
32-36 Harrison St Johnson City NY 13790-2122
Phone: (607) 763-6104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santelli, Edward
Phone: (607) 729-2125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1760447692
LBN Legal business name Park Avenue Associates In Radiology Pc
DBA Doing business as Southern Tier Imaging
Authorized official Santelli, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760447692 NPPES
New York MEDICAID 00553397

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