RADIATION THERAPY OF OLEAN PC NPI 1609854702

NPI Information

NPI: 1609854702
Provider Name: RADIATION THERAPY OF OLEAN PC

Doing Business As: REGIONAL CANCER CARE OLEAN BRADFORD

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1415 BUFFALO ST
OLEAN, NY
ZIP 14760
Phone: (716) 373-7134
Get Directions

RADIATION THERAPY OF OLEAN PC is a radiation oncology radiology in Olean, 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. RADIATION THERAPY OF OLEAN PC NPI is 1609854702. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Cancer Care Olean Bradford.

The provider's business location address is:

1415 BUFFALO ST
OLEAN, NY
ZIP 14760-139
Phone: (716) 373-7134
Fax: (716) 373-5787

The provider's authorized official is Ranjit S Dhaliwal .
The authorized official title is Delegated Official and has the following contact phone number (716) 373-7134.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 8/22/2020.

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	Other Provider Identifier Issuer
1	0012714830001	MEDICAID	PENNSYLVANIA
2	000528169001	OTHER	NEW YORK	BC OF WESTERN NY
3	952634	OTHER	PENNSYLVANIA	HIGHMARK BC/BS
4	000528169001	OTHER	NEW YORK	COMMUNITY BLUE
5	01289849	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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