Organization
PREMIER PHYSICIANS OF NEW YORK PLLC
Active
Other names
Tribecca Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO LIPSZTEIN MD (DIRECTOR)
(212) 925-8882
Entity
Organization
Contact information
Practice address
408 BROADWAY, NEW YORK, NY 10013-3699
(212) 925-8882
(904) 345-5841
Mailing address
2865 E COAST HWY, SUITE 200, CORONA DEL MAR, CA 92625-2236
(949) 207-3111
(949) 612-8255
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354168
—
NY
Enumeration date
08/06/2012
Last updated
06/02/2014
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