ADIRONDACK RADIATION THERAPY PC NPI 1093938334

NPI Information

NPI: 1093938334
Provider Name: ADIRONDACK RADIATION THERAPY, PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
75 BEEKMAN ST
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 562-7120
Get Directions

ADIRONDACK RADIATION THERAPY, PC is a radiation oncology radiology in Plattsburgh, 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. ADIRONDACK RADIATION THERAPY, PC NPI is 1093938334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 BEEKMAN ST
PLATTSBURGH, NY
ZIP 12901-438
Phone: (518) 562-7120

The provider's authorized official is Anthony Vaccaro .
The authorized official title is Md and has the following contact phone number (770) 693-6029.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 9/6/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	E62962	MEDICARE UPIN	NEW YORK
2	55093A	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	01382892	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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