Organization
BROOME ONCOLOGY LLC
Active
Other names
Broome Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MADHURI YALAMANCHILI M.D. (LEAD PHYSICIAN)
(607) 763-6850
Entity
Organization
Contact information
Practice address
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790-2161
(607) 763-6850
(607) 763-6703
Mailing address
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790-2161
(607) 763-6850
(607) 763-6703
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02202871
—
NY
Enumeration date
10/17/2005
Last updated
01/21/2014
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