Radiotherapy Assoc. of Upstate Ny

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIOTHERAPY ASSOC. OF UPSTATE NY

Doing business as

Elbadawi & Dalope, MD, PC

Practice address

815 James Street
Syracuse, NY 13203

Phone

(315) 474-4475

Fax

(315) 475-6928

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nabila A. Elbadawi, M.D.

Title

Co-Director

Phone

(315) 474-4475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elbadawi & Dalope, MD, PC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1245323872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JAMES STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-474-4475",
            "fax_number": "315-475-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JAMES STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-474-4475",
            "fax_number": "315-475-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOTHERAPY ASSOC. OF UPSTATE NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "ELBADAWI",
        "authorized_official_first_name": "NABILA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "315-474-4475",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elbadawi & Dalope, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Alexander Rachun, MD
• Gabrielle Racines, NP
• Jeremy Raciti, PA
• Wellsley Brielle Radecke, LMFT
• Kelly Marie Radford, LPN
• Nevena Radonjic, M.D., PHD
• Mary Elizabeth-Wilk Radtke, RN
• Eusha Abdul Raffay, MD
• Anam Rafique
• Rehmaan Rafique, MD

• Radiation Oncology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.