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BROOKLYN RADIATION ONCOLOGY PC NPI 1033163506


NPI Information

NPI: 1033163506
Provider Name: BROOKLYN RADIATION ONCOLOGY PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2101 AVENUE X
BROOKLYN, NY
ZIP 11235
Phone: (718) 517-2900
Get Directions

BROOKLYN RADIATION ONCOLOGY PC is a radiation oncology radiology in Brooklyn, NY. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. BROOKLYN RADIATION ONCOLOGY PC NPI is 1033163506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2101 AVENUE X
BROOKLYN, NY
ZIP 11235-910
Phone: (718) 517-2900
Fax: (800) 420-3318

The provider's authorized official is Leslie Botnick .
The authorized official title is Md,ceo and has the following contact phone number (310) 335-4067.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyNo
2208600000XSurgeryNo
3208800000XUrologyNo
4208C00000XColon & Rectal SurgeryNo
52085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102644640MEDICAIDNEW YORK
2DF6854OTHERNEW YORKRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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