# NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NY Cancer & Blood Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467943522
- **Authorized official:** PATRICIA DANDRAIA CREDENTIALING (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (631) 751-3000

## Contact information

- **Practice address:** 750 OLD COUNTRY RD BLDG 2, RIVERHEAD, NY 11901
- **Practice address phone:** (631) 751-3000
- **Practice address fax:** (631) 509-6559
- **Mailing address:** 1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
- **Mailing address phone:** (631) 751-3000
- **Mailing address fax:** (631) 509-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/24/2018
- **Last updated:** 01/31/2020