Organization
QUEENS MEDICAL RADIOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BOTNICK M.D. (MEDICAL DIRECTOR)
(310) 335-4000
Entity
Organization
Contact information
Practice address
15806 NORTHERN BLVD, FLUSHING, NY 11358-1641
(718) 445-3700
(718) 460-4051
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4000
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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