ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY (NPI# 1114933934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114933934 |
| Entity Type | Organization |
| Organization Name | ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY |
| Practice Address |
375 Bay Rd Queensbury NY 12804-3012 |
| Mailing Address |
632 Plank Rd Suite 103 Clifton Park NY 12065-2019 |
| Practice Telephone | 5187921700 |
| Practice Fax Number | 5187921711 |
| Mailing Telephone | 5183732121 |
| Mailing Fax Number | 5183731762 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | MICHAEL D. GREEN (PRESIDENT) |
| Authorized Official Telephone | 5183732121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
375 BAY RD |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971614 | Jordan Ann Marie Welch | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2020-08-04 |
| 1902414188 | Jessica L Keller | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2020-07-14 |
| 1932741915 | Demi Iverson-searer | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2019-10-11 |
| 1245792944 | Steven John Borden | Marriage & Family Therapist | 375 Bay Rd, Queensbury, NY 12804-3012 | 2019-04-02 |
| 1649751348 | Amy Marie Baker | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2018-08-22 |
| 1649783630 | Adrienne Slayko | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2017-11-13 |
| 1174036164 | Shayna Espinal | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2017-11-13 |
| 1730692724 | Ashley Nicole Howell | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2017-11-13 |
| 1952812745 | Kyra Hayes | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2017-10-19 |
| 1740638584 | Elyse Weaver | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041848 | David J Weissberg, Md, PC | Clinic/Center | 535 Broadhollow Rd Ste A24, Melville, NY 11747-3725 | 2019-12-25 |
| 1487200408 | New York Society for Relief of The Ruptured and Crippled Maintaining T | Clinic/Center | 148 39th St, Brooklyn, NY 11232-2550 | 2019-08-15 |
| 1306243951 | 101 Imaging LLC | Clinic/Center | 10601 101st Ave, Ozone Park, NY 11416-2712 | 2014-11-25 |
| 1467704353 | Stephen J. Nicholas Md PC | Clinic/Center | 2 Overhill Road., #310, Scarsdale, NY 10583 | 2012-10-03 |
| 1235485459 | Saga Imaging LLC | Clinic/Center | 159 E 74 St, Mezzanine, New York, NY 10021-3235 | 2012-07-25 |
| 1578855748 | Bronx Radiology P.C. | Clinic/Center | 858 E Tremont Ave, Bronx, NY 10460-4201 | 2011-05-06 |
| 1083915573 | Alliance Radiology Pllc | Clinic/Center | 5718 Junction Blvd, Elmhurst, NY 11373-5153 | 2010-11-15 |
| 1558699066 | Ap Diagnostic Medical, P.C. | Clinic/Center | 8809 101st Ave, Ozone Park, NY 11416-2118 | 2009-11-20 |
| 1194956268 | Stand-up Mri of Manhattan, P.C. | Clinic/Center | 191 Avenue A, New York, NY 10009-4094 | 2009-08-06 |
| 1174725055 | Alan B Greenfield Md PC | Clinic/Center | 210 W Park Ave, Long Beach, NY 11561-3212 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY.
| 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.