Provider Demographics
NPI:1689871485
Name:NORTHTOWNS IMAGING PC
Entity Type:Organization
Organization Name:NORTHTOWNS IMAGING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-565-0340
Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 355
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:716-565-0340
Mailing Address - Fax:716-565-0384
Practice Address - Street 1:1829 MAPLE RD
Practice Address - Street 2:STE 102
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2700
Practice Address - Country:US
Practice Address - Phone:716-565-0340
Practice Address - Fax:716-565-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0371Medicare PIN