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Organization

NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC

Active
Parent organization
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Other names
NY Imagining Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Authorized official
PATRICIA DANDRAIA (CREDENTIALING COORDINATOR)
(631) 751-3000
Entity
Organization

Contact information

Practice address
1500 ROUTE 112 BLDG 2, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 574-8354
(631) 509-6559

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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