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Organization

MSKCC CLINICAL PRACTICE PLAN

Active
Other names
Lymphoma Group
Organization subpart
No

Provider details

NPI number
Authorized official
SALVATORE M ANDREOZZI (ASSOCIATE DIRECTOR)
(646) 227-3751
Entity
Organization

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RH0000X
Hematology (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
Primary
207RX0202X
Medical Oncology Physician

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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