Provider Demographics
NPI:1720163892
Name:AMHERST MAGNETIC IMAGING ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:AMHERST MAGNETIC IMAGING ASSOCIATES, P.C.
Other - Org Name:ADVANCED IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-825-1398
Mailing Address - Street 1:905 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1066
Mailing Address - Country:US
Mailing Address - Phone:716-825-1398
Mailing Address - Fax:716-825-3834
Practice Address - Street 1:905 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1066
Practice Address - Country:US
Practice Address - Phone:716-825-1398
Practice Address - Fax:716-825-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
024091Medicare ID - Type Unspecified
NYDD3938Medicare PIN