# DMC MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Hematology Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972374023
- **Authorized official:** DAVIS APPLEBAUM (PRACTICE MANAGER)
- **Authorized official phone:** (718) 848-0475

## Contact information

- **Practice address:** 16150 92ND ST, HOWARD BEACH, NY 11414-3428
- **Practice address phone:** (718) 848-0475
- **Practice address fax:** (718) 848-5830
- **Mailing address:** 16150 92ND ST, HOWARD BEACH, NY 11414-3428
- **Mailing address phone:** (718) 848-0475
- **Mailing address fax:** (718) 848-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 01/09/2024