RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC; NPI #1942357561

Contact Information

RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC

325 W 15TH ST
NEW YORK, NY 10011-5903

Phone: 212-604-6081
Fax: 212-367-1742
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC

NPI Number 1942357561

LBN Legal business name RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC

Authorized official YVETTE ORTIZ - (ADMINISTRATIVE ASSISTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/04/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

NY	License #	183609
NY	Medicaid	01299072

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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