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General NPI Number Information
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NPI Number | 1457426165
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Entity Type | Organization
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Legal Business Name | VASSAR BROTHERS HOSPITAL ULSTER RADIATION ONCOLOGY CENTER
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 111 MARY'S AVENUE SUITE 1
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City | KINGSTON
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State | NY
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Zip | 15401-5853
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Country | US
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Telephone | 845-339-7700
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Fax | 845-339-2316
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Provider Business Mailing Address
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Address Line | 45 READE PLACE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3947
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Country | US
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Telephone | 845-454-8500
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Fax | 845-838-8062
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Authorized Official
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Title or Position | CFO
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Name | DANIEL JOSEPH DEBARBA
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Credential |
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Telephone | 203-314-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 1302001H
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License Number State | NY
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