Healthcare Provider Details

I. General information

NPI: 1114962511
Provider Name (Legal Business Name): METROPOLITAN RADIATION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLY PL SUITE 114A
BROOKLYN NY
11209-7104
US

IV. Provider business mailing address

190 STATE ROUTE 18 STE 303
EAST BRUNSWICK NJ
08816-1407
US

V. Phone/Fax

Practice location:
  • Phone: 888-723-7823
  • Fax: 732-387-2629
Mailing address:
  • Phone: 718-701-4088
  • Fax: 718-701-5788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number180048
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number180048
License Number StateNY

VIII. Authorized Official

Name: DAVID L SCHWARTZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 888-723-7823