Organization
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DANDRAIA (DIRECTOR OF CREDENTIALING)
(631) 751-3000
Entity
Organization
Contact information
Practice address
1 DELAWARE DR, NEW HYDE PARK, NY 11042-1116
(516) 336-5255
(516) 570-6527
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
222768
NY
Other
Enumeration date
06/03/2006
Last updated
12/06/2021
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