Provider Demographics
NPI:1285626309
Name:ALBANY RADIATION ONCOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:ALBANY RADIATION ONCOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUNCAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-525-1404
Mailing Address - Street 1:PO BOX 8659
Mailing Address - Street 2:ALBANY RADIATION ONCOLOGY ASSOCIATES LLC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-0659
Mailing Address - Country:US
Mailing Address - Phone:518-525-1404
Mailing Address - Fax:
Practice Address - Street 1:317 S MANNING BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1738
Practice Address - Country:US
Practice Address - Phone:518-525-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCD6780OtherRR MEDICARE
NY56447AMedicare PIN