Organization
TWIN FORKS HEMATOLOGY ONCOLOGY PC7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S EMANUELE M.D. (PRESIDENT)
(631) 727-7100
Entity
Organization
Contact information
Practice address
1267 E MAIN ST, RIVERHEAD, NY 11901-2673
(631) 727-7100
(631) 727-6754
Mailing address
1267 E MAIN ST, RIVERHEAD, NY 11901-2673
(631) 727-7100
(631) 727-6754
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
202139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4498240002
DME
—
Enumeration date
03/28/2007
Last updated
06/06/2008
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