Healthcare Provider Details

I. General information

NPI: 1457426165
Provider Name (Legal Business Name): VASSAR BROTHERS HOSPITAL ULSTER RADIATION ONCOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MARY'S AVENUE SUITE 1
KINGSTON NY
15401-5853
US

IV. Provider business mailing address

45 READE PLACE
POUGHKEEPSIE NY
12601-3947
US

V. Phone/Fax

Practice location:
  • Phone: 845-339-7700
  • Fax: 845-339-2316
Mailing address:
  • Phone: 845-454-8500
  • Fax: 845-838-8062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number1302001H
License Number StateNY

VIII. Authorized Official

Name: DANIEL JOSEPH DEBARBA
Title or Position: CFO
Credential:
Phone: 203-314-6990