Organization
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Active
Other names
NY Cancer & Blood Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DANDRAIA (DIRECTOR OF CREDENTIALING)
(631) 751-3000
Entity
Organization
Contact information
Practice address
9237 METROPOLITAN AVE, FOREST HILLS, NY 11375-6623
(631) 751-3000
(631) 751-0506
Mailing address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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