| Dr Joseph Gp Ang, MD | |
| 301 Prospect Ave, Syracuse, NY 13203-1807 | |
| (315) 448-5274 | |
| (315) 448-5263 | 
| Full Name | Dr Joseph Gp Ang | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 301 Prospect Ave, Syracuse, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669464756 | NPI | - | NPPES | 
| 02671667 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 236307 (New York) | Primary | 
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 236307 (New York) | Secondary | 
| Entity Name | St. Josephs Imaging Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093709180 PECOS PAC ID: 5991775553 Enrollment ID: O20040729001400 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Joseph Gp Ang, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr Joseph Gp Ang, MD 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 448-5274 | 
| James E Suchnicki, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 | |
| Dr. Thomas Kaysee Chacko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 Fax: 315-470-2719 | |
| Dr. Neil F Mariados, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-3468 Fax: 315-214-2840 | |
| Seung Shin Hahn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Genesee St, Suite 101, Syracuse, NY 13210 Phone: 315-476-3535 Fax: 315-476-4140 | |
| David Jonathan Pinter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Rm 3416, Syracuse, NY 13210 Phone: 315-464-7439 Fax: 315-464-7494 | |
| Dr. Ja Kwei Chang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, 3rd Floor Radiology, Syracuse, NY 13210 Phone: 315-464-6672 | |
| John P Marangola, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 306 Sedgwick Dr, Syracuse, NY 13203 Phone: 315-472-5465 |