NPI | 1881018737 |
---|---|
Other Name | ST. PETER'S RADIATION ONCOLOGY |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2014-02-13 |
Last Update Date | 2021-10-07 |