Organization
RADIATION ONCOLOGY MEDICAL PRACTICE OF ST VINCENTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M BERSON M.D. (PRESIDENT)
(212) 576-9800
Entity
Organization
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6081
(212) 367-1742
Mailing address
PO BOX 26179, NEW YORK, NY 10087-6179
(770) 693-6022
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02039870
—
NY
Enumeration date
11/08/2005
Last updated
09/13/2011
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