Provider Demographics
NPI:1275631913
Name:NORTHTOWNS IMAGING PC
Entity Type:Organization
Organization Name:NORTHTOWNS IMAGING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
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:716-689-4406
Mailing Address - Street 1:PO BOX 8000-355
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0001
Mailing Address - Country:US
Mailing Address - Phone:716-689-4406
Mailing Address - Fax:716-689-1791
Practice Address - Street 1:1020 YOUNGS RD
Practice Address - Street 2:#120
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2642
Practice Address - Country:US
Practice Address - Phone:716-689-4406
Practice Address - Fax:716-689-1791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
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