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Organization

HEMATOLOGY AND ONCOLOGY OF LI PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATAYLA KRICHMAR M.D. (DOCTOR AND OWNER)
(516) 755-2404
Entity
Organization

Contact information

Practice address
200 BOUNDARY AVE, SUITE 200, MASSAPEQUA, NY 11758-1152
(516) 755-2404
(516) 755-2405
Mailing address
PO BOX 1248, SYOSSET, NY 11791-0490
(516) 755-2404
(516) 755-2405

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
208D00000X
General Practice Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02777939
NY
Enumeration date
06/29/2007
Last updated
02/28/2013
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