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ST LAWRENCE RADIOLOGY ASSOC PC
NPI 1154380863
Radiology - Diagnostic Radiology in Potsdam, NY

Active since March 21, 2006
50 LEROY ST, CANTON POTSDAM HOSPITAL, POTSDAM, NY 13676(315) 782-2620(315) 788-4980 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Lawrence Radiology Assoc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LAWRENCE RADIOLOGY ASSOC PC (NPI 1154380863) is a healthcare organization registered as a diagnostic radiology in Potsdam, New York and active in the NPI registry since March 2006. The organization lists Glauco Maresca, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1154380863
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST LAWRENCE RADIOLOGY ASSOC PC
Location Address50 LEROY ST, CANTON POTSDAM HOSPITALPotsdam, NY 13676-1786
Mailing AddressPo Box 41643Baltimore, MD 21203-6643 · (443) 274-2888 · Fax (443) 274-2391
Phone(315) 782-2620
Fax(315) 788-4980
Organization SubpartNo
Authorized OfficialGlauco MarescaPresident/ceo · (315) 265-4924
Enumeration DateMarch 21, 2006
Last NPPES UpdateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1154380863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
50 LEROY ST, Potsdam, NY 13676
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Other Identifiers 1

Medicaid01350563NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Lawrence Radiology Assoc PC's NPI number?

The NPI number for St Lawrence Radiology Assoc PC is 1154380863. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is St Lawrence Radiology Assoc PC located?

St Lawrence Radiology Assoc PC is located at 50 Leroy St Canton Potsdam Hospital, Potsdam, NY 13676. The listed phone number is (315) 782-2620.

What is St Lawrence Radiology Assoc PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does St Lawrence Radiology Assoc PC accept?

Health plans from WellSense Health Plan list St Lawrence Radiology Assoc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Lawrence Radiology Assoc PC was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.