Provider Demographics
NPI:1376880906
Name:ULSTER MEDICAL IMAGING
Entity Type:Organization
Organization Name:ULSTER MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO CEO, COO, ECHOCARDIOGRAPHER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EMIL
Authorized Official - Last Name:MALARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:ECHOCARDIOGRAPHER
Authorized Official - Phone:845-430-8559
Mailing Address - Street 1:550 ROUTE 299
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2875
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 ROUTE 299
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2875
Practice Address - Country:US
Practice Address - Phone:845-430-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology