Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mohawk Glen Radiology Associates of Cny PLLC

Organization Diagnostic Radiology Physician · NPI 1538466115

Mohawk Glen Radiology Associates of Cny PLLC provides Diagnostic Radiology Physician services in Rome, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

91 Perimeter Rd Ste 110
Rome, NY 13441-4018
Phone: (315) 334-9729
Fax: (315) 334-1185
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1538466115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Fraccola — Authorized Signer · (315) 382-3031
NPI enumeratedFebruary 17, 2011
Last updated in NPPESMarch 4, 2019
Mailing addressPo Box 394, Canajoharie, NY 13317-0394

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