Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Joseph's Imaging

Organization Adult Health Nurse Practitioner · NPI 1457361529

St Joseph's Imaging is an Adult Health Nurse Practitioner in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

4109 Medical Center Dr
Fayetteville, NY 13066-6600
Phone: (315) 329-7555
Fax: (315) 329-7559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 302135 (NY)

Record details

NPI number1457361529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Roman — Interventional Radiology · (315) 329-7555
NPI enumeratedAugust 9, 2006
Last updated in NPPESOctober 3, 2011
Mailing address4109 Medical Center Dr, Fayetteville, NY 13066-6600

Other providers in Fayetteville