Organization
ADIRONDACK RADIATION THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY VACCARO MD (MD)
(770) 693-6029
Entity
Organization
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7120
Mailing address
PO BOX 1305, WILLISTON, VT 05495-1305
(770) 693-6029
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01382892
—
NY
Enumeration date
04/11/2007
Last updated
09/06/2011
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