Berkshire Radiological Assoc

Organization Active NPI Diagnostic Radiology Physician · New Lebanon, NY

NPI 1235126145 · NPPES record last updated Dec 6, 2007

Key facts

NPI
1235126145
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
BERKSHIRE RADIOLOGICAL ASSOC
Practice address
501 State Rte 20
New Lebanon, NY 12125-0417
Phone
(518) 794-7216
Fax
(518) 794-0180
NPI assigned
Oct 5, 2005
Organization subpart
No

Authorized official

Name
Ms. Debbie Cahill
Title
Office Manager
Phone
(518) 794-7216

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

501 Route 20
New Lebanon, NY 12125
Phone (518) 794-7216

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

501 State Rte 20
New Lebanon, NY 12125-0417

Mailing address

PO Box 417
New Lebanon, NY 12125-0417
Phone (518) 794-7216

Other identifiers

IdentifierTypeStateIssuer
02140009MedicaidNY
9705350MedicaidMA
M17600OtherMABLUE SHIELD MA
000498245001OtherNYEMPIRE BLUE SHIELD

Other providers in New Lebanon, NY

All providers in New Lebanon, NY · Diagnostic Radiology Physician in New York

Sources for this page

Verify at the official NPI Registry.