Organization
NORTHERN BOULEVARD RADIATION ONCOLOGY LLP
Active
Other names
New York Oncology Assoc. LLP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENGRACIO C SAMALA M.D. (PARTNER)
(718) 445-3700
Entity
Organization
Contact information
Practice address
15806 NORTHERN BLVD, FLUSHING, NY 11358-1641
(718) 445-3700
Mailing address
15806 NORTHERN BLVD, FLUSHING, NY 11358-1641
(718) 445-3700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01687214
—
NY
01
—
0701494
AETNA U.S. HEALTHCARE
NY
01
—
135970-A17
HEALTHFIRST
NY
01
—
A1943029
OXFORD
NY
Enumeration date
07/08/2005
Last updated
08/17/2018
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