# SOUTH NASSAU ONCOLOGY PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952715773
- **Authorized official:** MR. MARK BOGEN (CFO)
- **Authorized official phone:** (516) 632-3935

## Contact information

- **Practice address:** 242 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5254
- **Practice address phone:** (516) 536-1455
- **Mailing address:** 1 HEALTHY WAY, PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
- **Mailing address phone:** (516) 255-1616
- **Mailing address fax:** (516) 255-4672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014