# 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:** 1689205692
- **Authorized official:** PATRICIA DANDRAIA (CREDENTIALING)
- **Authorized official phone:** (631) 751-3000

## Contact information

- **Practice address:** 640 COUNTY ROAD 39, SOUTHAMPTON, NY 11968-5219
- **Practice address phone:** (631) 751-3000
- **Practice address fax:** (631) 509-6559
- **Mailing address:** 1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
- **Mailing address phone:** (631) 751-3000
- **Mailing address fax:** (631) 509-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 01/29/2020