Organization
LEADING EDGE RADIATION ONCOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER RAFLA MD (PRESIDENT)
(718) 836-2200
Entity
Organization
Contact information
Practice address
8715 5TH AVENUE, BROOKLYN, NY 11209
(718) 836-2200
(718) 836-2226
Mailing address
8715 5TH AVENUE, BROOKLYN, NY 11209
(718) 836-2200
(718) 836-2226
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250011B
—
NY
Enumeration date
11/01/2006
Last updated
06/03/2015
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