Organization
UPSTATE UNIVERSITY RADIATION ONCOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BUCKMAN (PRACTICE ADMINISTRATOR)
(315) 464-2020
Entity
Organization
Contact information
Practice address
750 E ADAMS ST # 1064, SYRACUSE, NY 13210-2306
(315) 464-2020
(315) 464-2025
Mailing address
750 E ADAMS ST # 1064, SYRACUSE, NY 13210-2306
(315) 464-2020
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236495
—
NY
Enumeration date
12/16/2009
Last updated
01/12/2021
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