Provider Demographics
NPI:1114242989
Name:NYC STEREOTACTIC RADIOSURGERY , PLLC
Entity Type:Organization
Organization Name:NYC STEREOTACTIC RADIOSURGERY , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAWENCE
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:718-351-9750
Mailing Address - Street 1:1855 RICHMOND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3912
Mailing Address - Country:US
Mailing Address - Phone:718-761-4444
Mailing Address - Fax:718-761-4444
Practice Address - Street 1:430 WEST 55 STREET NYC STEREOTACTIC RADIOSURGERY,PLLC
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4403
Practice Address - Country:US
Practice Address - Phone:718-761-4444
Practice Address - Fax:718-761-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty