Provider Demographics
NPI:1356387294
Name:RADIOLOGY ASSOCIATES OF NEW HARTFORD LLP
Entity type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF NEW HARTFORD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILFER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, PHD
Authorized Official - Phone:315-793-8806
Mailing Address - Street 1:185 GENESEE STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-2199
Mailing Address - Country:US
Mailing Address - Phone:315-793-8806
Mailing Address - Fax:315-793-8046
Practice Address - Street 1:1656 CHAMPLIN AVENUE
Practice Address - Street 2:FAXTON ST LUKES HEALTHCARE
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4830
Practice Address - Country:US
Practice Address - Phone:315-624-6116
Practice Address - Fax:315-624-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCK0054OtherRR MEDICARE
NY3647OtherCDPHP
NY00780718Medicaid
NY39162AMedicare ID - Type Unspecified