Organization
PROGRESSIVE ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MONTGOMERY (PRACTICE MGR.)
(631) 666-0262
Entity
Organization
Contact information
Practice address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 666-0262
(631) 666-0312
Mailing address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 666-0262
(631) 666-0312
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
158747
NY
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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