Provider Demographics
NPI:1467734053
Name:UPPER WESTCHESTER RADIATION ONCOLOGY, PLLC
Entity Type:Organization
Organization Name:UPPER WESTCHESTER RADIATION ONCOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHITTI
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-602-1425
Mailing Address - Street 1:950A UNION RD
Mailing Address - Street 2:SUITE 424
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3465
Mailing Address - Country:US
Mailing Address - Phone:716-677-4162
Mailing Address - Fax:716-677-4163
Practice Address - Street 1:3795 CROMPOND ROAD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-7220
Practice Address - Country:US
Practice Address - Phone:914-602-1425
Practice Address - Fax:219-756-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation