Provider Demographics
NPI:1710135686
Name:FLUSHING RADIATION ONCOLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:FLUSHING RADIATION ONCOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:WAH SANG
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-532-2888
Mailing Address - Street 1:47 ESSEX STREET
Mailing Address - Street 2:GROUND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4634
Mailing Address - Country:US
Mailing Address - Phone:347-532-2888
Mailing Address - Fax:718-321-8620
Practice Address - Street 1:136-40 39TH AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5536
Practice Address - Country:US
Practice Address - Phone:347-532-2888
Practice Address - Fax:718-321-8620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194220174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03178829Medicaid
NY6315540001Medicare NSC
NY03178829Medicaid
NYG100006015Medicare PIN