Individual
ALEXANDER BANASHKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E. ADAMS STREET, UPSTATE MEDICAL UNIVERSITY DEPT. OF RADIATION ONCOLOGY, SYRACUSE, NY 13210
(315) 464-5276
Mailing address
750 E. ADAMS STREET, UPSTATE MEDICAL UNIVERSITY DEPT. OF RADIATION ONCOLOGY, SYRACUSE, NY 13210
(315) 464-5276
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
274913
NY
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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