Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breast Care Specialist, PLLC

Organization Surgical Oncology Physician · NPI 1558591040

Breast Care Specialist, PLLC provides Surgical Oncology Physician services in Kingston, New York. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 Marys Ave Ste 105
Kingston, NY 12401 Not confirmed with CMS for 17 years — call before visiting
Phone: (845) 338-8680
Fax: (845) 338-8693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X

Record details

NPI number1558591040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samira Khera — Owner · (845) 338-8680
NPI enumeratedJuly 20, 2009
Last updated in NPPESJuly 20, 2009
Mailing address117 Marys Avenue, Suite 105, Kingston, NY 12401

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