Provider Demographics
NPI:1609363670
Name:THE NEW YORK PROTON CENTER
Entity Type:Organization
Organization Name:THE NEW YORK PROTON CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-222-7310
Mailing Address - Street 1:PO BOX 22048
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2048
Mailing Address - Country:US
Mailing Address - Phone:646-968-9064
Mailing Address - Fax:646-968-9064
Practice Address - Street 1:225 E 126TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1406
Practice Address - Country:US
Practice Address - Phone:646-968-9064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, RadiationGroup - Single Specialty