Provider Demographics
NPI:1720299555
Name:NEW YORK RADIATION ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NEW YORK RADIATION ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSZTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-520-6620
Mailing Address - Street 1:106-14 70TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5607
Mailing Address - Country:US
Mailing Address - Phone:718-520-6620
Mailing Address - Fax:718-520-6630
Practice Address - Street 1:106-14 70TH AVENUE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5607
Practice Address - Country:US
Practice Address - Phone:718-520-6620
Practice Address - Fax:718-520-6630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY85A362OtherEMPIRE MEDICARE
NY00863HOtherGHI MEDICARE
NY04373IOtherGHI MEDICARE
NY00863GOtherGHI MEDICARE
NY324641OtherEMPIRE MEDICARE
NYC08489Medicare UPIN
NY85A362OtherEMPIRE MEDICARE
NY00863GMedicare PIN
NY00863HMedicare PIN
NY324641OtherEMPIRE MEDICARE
NY00863Medicare PIN
NY04373Medicare PIN
NY04373IOtherGHI MEDICARE
NY324641Medicare PIN