Organization
OCEAN RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVLIK LVOVSKY DO (PRESIDENT)
(718) 265-4300
Entity
Organization
Contact information
Practice address
2505 86TH ST, BROOKLYN, NY 11214-4414
(718) 265-4300
(718) 996-0965
Mailing address
2505 86TH ST, BROOKLYN, NY 11214-4414
(718) 265-4300
(718) 996-0965
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
215783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426924
—
NY
Enumeration date
12/07/2007
Last updated
09/05/2008
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