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 | 153843 | NEW YORK | 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 |
Other Provider Identifier Issuer |
| 1 | 15384301 | OTHER | NEW YORK | NEIGHBORHOOD HEALTH PROVIDERS |
| 2 | 201023600036 | OTHER | NEW YORK | AFFINITY |
| 3 | 1611667 | OTHER | NEW YORK | GHI PPO |
| 4 | DOC060423-0 | OTHER | NEW YORK | VNS CHOICE MEDICARE |
| 5 | P00828204 | OTHER | NEW YORK | RAILROAD MEDICARE |
| 6 | 586FG2 | OTHER | NEW YORK | EMPIRE BCBS - BRONX |
| 7 | 7C4778 | OTHER | NEW YORK | HEALTH NET |
| 8 | 849940P | OTHER | NEW YORK | HIP YONKERS |
| 9 | 9853479 | OTHER | NEW YORK | AETNA |
| 10 | 000000640406 | OTHER | NEW YORK | GHI HMO |
| 11 | 000600041106 | OTHER | NEW YORK | HEALTH PLUS- YONKERS |
| 12 | 153843-A19 | OTHER | NEW YORK | HEALTH FIRST - BRONX |
| 13 | A400204901 | OTHER | NEW YORK | MEDICARE PTAN |
| 14 | QMYPR2900178 | OTHER | NEW YORK | 1199 HEALTH BENEFIT FUND |
| 15 | 153843 | OTHER | NEW YORK | TOUCHSTONE HEALTH |
| 16 | 3013624 | OTHER | NEW YORK | TACONIC IPA |
| 17 | 100623000145 | OTHER | NEW YORK | FIDELIS |
| 18 | 153843-A2B | OTHER | NEW YORK | HEALTH FIRST - YONKERS |
| 19 | 00858728 | MEDICAID | NEW YORK | |
| 20 | 586FG1 | OTHER | NEW YORK | EMPIRE BCBS - YONKERS |
| 21 | 000600041501 | OTHER | NEW YORK | HEALTH PLUS - BRONX |
| 22 | 552645 | OTHER | NEW YORK | WELLCARE |
| 23 | 6217526 | OTHER | NEW YORK | AETNA HMO |
| 24 | 849948P | OTHER | NEW YORK | HIP BRONX |
| 25 | 9106167 | OTHER | NEW YORK | CIGNA |
