Healthcare Provider Details

I. General information

NPI: 1205233871
Provider Name (Legal Business Name): AFTERHOURS IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2014
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 STATE ROUTE 3 SUITE 105
PLATTSBURGH NY
12901-6562
US

IV. Provider business mailing address

2081 W RIDGE RD STE 101
ROCHESTER NY
14626-2724
US

V. Phone/Fax

Practice location:
  • Phone: 585-235-3220
  • Fax:
Mailing address:
  • Phone: 585-235-3988
  • Fax: 585-235-5581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA A CROWDER
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-235-3220