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Organization
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Active
Organization
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Active
Other names
NY Cancer & Blood Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DANDRAIA (CREDENTIALING)
(631) 751-3000
Entity
Organization
Contact information
Practice address
640 COUNTY ROAD 39, SOUTHAMPTON, NY 11968-5219
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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