Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI # | 1184790032 |
| LBN Legal business name | TRA-MINW P S |
| Authorized official | VICTORIA EPSHTEYN - (DIRECTOR OF FINANCE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/24/2006 |
| Last updated | 09/20/2023 - About 3 years ago |
| Identifiers | n/a |
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