NYC STEREOTACTIC RADIOSURGERY , PLLC


Address: 430 West 55 Street Nyc Stereotactic Radiosurgery,pllc, Ground Floor, New York, NY 10019-4403
Phone: 7187614444

NYC STEREOTACTIC RADIOSURGERY , PLLC (NPI# 1114242989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114242989
Entity Type Organization
Organization Name NYC STEREOTACTIC RADIOSURGERY , PLLC
Practice Address 430 West 55 Street Nyc Stereotactic Radiosurgery,pllc
Ground Floor
New York
NY 10019-4403
Mailing Address 1855 Richmond Ave
Suite 101
Staten Island
NY 10314-3912
Practice Telephone 7187614444
Practice Fax Number 7187614453
Mailing Telephone 7187614444
Mailing Fax Number 7187614444
Enumeration Date 2010-04-05
Last Update Date 2010-04-05
Authorized Official Name DR. DAVID LAWENCE SCHWARTZ (MEDICAL DIRECTOR)
Authorized Official Telephone 7183519750
Authorized Official Credential M.D.,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Office Location

Street Address 430 WEST 55 STREET NYC STEREOTACTIC RADIOSURGERY,PLLC
GROUND FLOOR
City NEW YORK
State NY
Zip Code 10019-4403

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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639566516 Fauzia Shaikh Radiology 525 E 68th St # 95, New York, NY 10065-4870 2015-04-18
1417368721 Moses Min-chi Tam Radiology 550 1st Ave Fl 2, New York, NY 10016-6402 2014-05-09
1649690629 Christine Chin Radiology 622 West 168th Street Chony North B-level, New York, NY 10032 2014-04-17
1336566272 Stanislav Lazarev Radiology 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 2014-03-27
1043574494 Sumeeta Varma Radiology 1250 Broadway Fl 2, New York, NY 10001 2012-06-30
1902164288 Nisha Ohri Radiology 217 E 96th St, Apt 34f, New York, NY 10128-3950 2012-04-24
1770856254 Icahn School of Medicine At Mount Sinai Radiology 1184 5th Ave # 1236, New York, NY 10029-6503 2012-02-15
1417237058 Anna Lee Radiology 225 East 126th St, New York, NY 10087-2012 2011-08-26
1225334865 Charles B Simone II Radiology 225 E 126th St, New York, NY 10035-1406 2011-01-30
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City NEW YORK
Zip Code 10019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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