Healthcare Provider Details

I. General information

NPI: 1366426942
Provider Name (Legal Business Name): B I RADIATION ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQUARE E 4F
NEW YORK NY
10003
US

IV. Provider business mailing address

10 UNION SQUARE E 4F
NEW YORK NY
10003
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-7565
  • Fax: 212-410-7194
Mailing address:
  • Phone: 212-241-7565
  • Fax: 212-410-7194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. KIMBERLY SMITH
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 212-241-6157