Organization
RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVETTE ORTIZ (ADMINISTRATIVE ASSISTANT)
(212) 604-6081
Entity
Organization
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6081
(212) 367-1742
Mailing address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6081
(212) 367-1742
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
183609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299072
—
NY
Enumeration date
01/04/2007
Last updated
08/22/2020
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