Organization
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Active
Other names
NY Health
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DANDRAIA (DIRECTOR OF CREDENTIALING)
(631) 751-3000
Entity
Organization
Contact information
Practice address
285 SILLS RD BLDG 1, EAST PATCHOGUE, NY 11772-4869
(631) 654-8200
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5178
RR MEDICARE
NY
Enumeration date
06/29/2007
Last updated
09/19/2023
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