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NPI Code Detail

MEDICARE: AUBURN RADIOLOGIC ASSOCIATES PC

MEDICARE: AUBURN RADIOLOGIC ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician162948NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982697439
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUBURN RADIOLOGIC ASSOCIATES PC
Provider Business Mailing Address
First Line : 4567 CROSSROADS PARK DR
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-3589
Country : US
Telephone Number : 315-434-9309
Fax Number : 315-454-0136
Provider Business Practice Location Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-255-7261
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. STEVEN LEVERICH
Credential : M.D.
Telephone Number : 315-255-7261
Provider Enumeration Date : 08/30/2005
Last Update Date : 09/05/2008

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Directions to “AUBURN RADIOLOGIC ASSOCIATES PC ” Practice Location

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