DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHERN BOULEVARD RADIATION ONCOLOGY LLP

MEDICARE: NORTHERN BOULEVARD RADIATION ONCOLOGY LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10701494OTHERNYAETNA U.S. HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3135970-A17OTHERNYHEALTHFIRST
4A1943029OTHERNYOXFORD

General Provider Information

NPI Number : 1700884202
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN BOULEVARD RADIATION ONCOLOGY LLP
Provider Business Mailing Address
First Line : 15806 NORTHERN BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1641
Country : US
Telephone Number : 718-445-3700
Fax Number :
Provider Business Practice Location Address
First Line : 15806 NORTHERN BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1641
Country : US
Telephone Number : 718-445-3700
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : DR. ENGRACIO C SAMALA
Credential : M.D.
Telephone Number : 718-445-3700
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/17/2018

Similar Medicare Providers

1043393523 — DR. MARY KATHLEEN REED MD
Practice Location Address:
15806 NORTHERN BLVD
FLUSHING, NY
11358-1641
Practice Phone: 631-751-3000
Practice Fax: 631-509-6559
1871700500 — DR. WALTER HYUNMIN CHOI M.D.
Practice Location Address:
15806 NORTHERN BLVD
FLUSHING, NY
11358-1641
Practice Phone: 718-445-3700
Practice Fax: 718-460-4051
1043518905 — QUEENS MEDICAL RADIOTHERAPY PC
Practice Location Address:
15806 NORTHERN BLVD
FLUSHING, NY
11358-1641
Practice Phone: 718-445-3700
Practice Fax: 718-460-4051
1720577265 — EDLIRA FOTO NP
Practice Location Address:
15806 NORTHERN BLVD
FLUSHING, NY
11358-1641
Practice Phone: 718-445-3700
Practice Fax:
1285346544 — VANTAGE MEDICAL GROUP
Practice Location Address:
15806 NORTHERN BLVD
FLUSHING, NY
11358-1641
Practice Phone: 917-688-2534
Practice Fax: 800-420-3318
1386850303 — DR. GRACE B HAN DDS
Practice Location Address:
16410 NORTHERN BLVD STE 214
FLUSHING, NY
11358-2668
Practice Phone: 718-321-7181
Practice Fax:

Directions to “NORTHERN BOULEVARD RADIATION ONCOLOGY LLP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.