Organization
MEMORIAL SLOAN KETTERING CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J DISA (ATTENDING PHYSICIAN)
(212) 639-5022
Entity
Organization
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
40 LAUREL LN, LOCUST VALLEY, NY 11560-2204
(516) 238-2097
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
015759
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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