Organization
BROOKLYN RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BOTNICK MD (MD,CEO)
(310) 335-4067
Entity
Organization
Contact information
Practice address
2101 AVENUE X, BROOKLYN, NY 11235-2910
(718) 517-2900
(800) 420-3318
Mailing address
PO BOX 6054, SPRING HILL, FL 34611-6054
(917) 688-2534
(800) 420-3318
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644640
—
NY
01
—
DF6854
RR MEDICARE
NY
Enumeration date
05/20/2006
Last updated
10/09/2023
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