Breast Care Specialist, PLLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

BREAST CARE SPECIALIST, PLLC

Practice address

117 Marys Avenue
Suite 105
Kingston, NY 12401

Phone

(845) 338-8680

Fax

(845) 338-8693

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samira Y Khera, MD MS

Title

Owner

Phone

(845) 338-8680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1558591040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MARYS AVENUE",
            "address_2": "SUITE 105",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-8680",
            "fax_number": "845-338-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARYS AVENUE",
            "address_2": "SUITE 105",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-8680",
            "fax_number": "845-338-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "KHERA",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-338-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MS"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Rose Brandhofer, HIS
• Linda Carol Brandon, O.D.
• Brandon&Lortie, O.D., P.C.
• Sarah Branham
• Arthur Todd Braunstein
• Linda Marie Brewer, LCSWR
• Bernadette Marie Brice
• Dana Bridenbecker
• Virginia Kay Brienza, M.P.T.
• Nicholas Brockway, DPT

• Surgical Oncology Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.