| 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 |
| 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 |