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UPSTATE RADIOLOGY, PC
NPI 1508241878
Specialist in Watertown, NY

Active since July 28, 2015
1116 ARSENAL ST STE 504, WATERTOWN, NY 13601(315) 782-2669 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Upstate Radiology, Pc NPPES

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

UPSTATE RADIOLOGY, PC (NPI 1508241878) is a healthcare organization registered as a specialist in Watertown, New York and active in the NPI registry since July 2015. The organization lists Glauco Michael Maresca, Owner, as its authorized official.

NPPES Registry Identity

NPI1508241878
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUPSTATE RADIOLOGY, PC
Location Address1116 ARSENAL ST STE 504Watertown, NY 13601-2229
Mailing Address1116 Arsenal St Ste 504Watertown, NY 13601-2229 · (315) 782-2669
Phone(315) 782-2669
Organization SubpartNo
Authorized OfficialGlauco Michael MarescaOwner · (315) 782-2669
Enumeration DateJuly 28, 2015
✔ NPI 1508241878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 177246
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1116 ARSENAL ST STE 504, Watertown, NY 13601
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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

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 Upstate Radiology, PC's NPI number?

The NPI number for Upstate Radiology, PC is 1508241878. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Upstate Radiology, PC located?

Upstate Radiology, PC is located at 1116 Arsenal St Ste 504, Watertown, NY 13601. The listed phone number is (315) 782-2669.

What is Upstate Radiology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Upstate Radiology, PC was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.