# PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS, PSC

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

## Provider details

- **NPI number:** 1972827707
- **Authorized official:** DR. SALVATORE J BERTOLONE JR. MD (PRESIDENT)
- **Authorized official phone:** (502) 629-7751

## Contact information

- **Practice address:** 601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835
- **Practice address phone:** (502) 629-7751
- **Practice address fax:** (500) 629-5780
- **Mailing address:** 601 S FLOYD ST, SUITE 403, LOUISVILLE, KY 40202-1835
- **Mailing address phone:** (502) 629-7751
- **Mailing address fax:** (500) 629-5780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1505 | KY | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/23/2010