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 CREDENTIALING (CREDENTIALING COORDINATOR)
(631) 751-3000
Entity
Organization
Contact information
Practice address
750 OLD COUNTRY RD BLDG 2, RIVERHEAD, NY 11901
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
05/24/2018
Last updated
01/31/2020
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