Organization
KINGSTON RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH TAPEN MD (DIRECTOR)
(845) 339-7700
Entity
Organization
Contact information
Practice address
111 MARYS AVE, KINGSTON, NY 12401-5852
(845) 339-7700
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1417055922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01129868
—
NY
01
—
39711
MVP
NY
01
—
527650
AETNA USHC
NY
01
—
7066
CDPHP
NY
Enumeration date
01/12/2006
Last updated
01/10/2011
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