Organization
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Active
Other names
CPHO A division of NY Cancer & Blood Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DANDRAIA (CREDENTIALING COODINATOR)
(631) 751-3000
Entity
Organization
Contact information
Practice address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
(212) 744-4696
Mailing address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
(212) 744-4696
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03005369
—
NY
Enumeration date
01/09/2006
Last updated
03/31/2021
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