ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES, P.C. (NPI# 1063489060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063489060 |
Entity Type | Organization |
Organization Name | ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES, P.C. |
Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
Mailing Address |
100 E 14th St Elmira Heights NY 14903-1318 |
Practice Telephone | 6077343414 |
Practice Fax Number | 6077349728 |
Mailing Telephone | 6077346237 |
Mailing Fax Number | 6077346158 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2010-02-15 |
Authorized Official Name | DAVID T RAYNE (PRESIDENT) |
Authorized Official Telephone | 6077346237 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | PALMETTO GBA | CJ0402 | 01 |
NY | 00371971 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES, P.C. | 100 E Fourteenth St, Elmira Heights, Ny 14903 |
Street Address |
600 ROE AVE |
City | ELMIRA |
State | NY |
Zip Code | 14905-1629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
Find all providers in zip 14905 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
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1366076085 | Best Choice Imaging, Inc. | Radiology | 12 Bond St Apt 2c, Great Neck, NY 11021-2006 | 2020-03-03 |
1346705480 | Ly Imaging Wave Inc. | Radiology | 2615 E 6th St, Brooklyn, NY 11235-6208 | 2019-02-03 |
1316416126 | Vertex Mobile Diagnostics Inc | Radiology | 1810 Voorhies Ave Ste 10, Brooklyn, NY 11235-3313 | 2018-11-21 |
1154898187 | Medpro Movil LLC | Radiology | 16808 Hillside Ave, Jamaica, NY 11432-4341 | 2018-10-29 |
1598269037 | Wave Imaging LLP | Radiology | 230 Beach 102nd St Ste 2b, Rockaway Park, NY 11694-2871 | 2018-03-20 |
1851899595 | Trinity Technology LLC | Radiology | 66 Whippoorwill Rd E, Armonk, NY 10504-1423 | 2018-01-29 |
1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
1750896221 | Express Mobile Diagnostic Services Inc | Radiology | 7121 Bergen Ct, Brooklyn, NY 11234-5812 | 2017-12-06 |
1518470004 | Minou Ghelechkhani | Radiology | 50 Morton Ave, West Hempstead, NY 11552-2140 | 2017-11-07 |
1134660319 | Cc Imaging LLC | Radiology | 174 Straub Rd, Rochester, NY 14626-4254 | 2017-03-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.