Organization
MEMORIAL SLOAN KETTERING CANCER CENTER
Active
Other names
Memorial Hospital for Cancer and Allied Diseases - Specialty, Memorial Hospital for Cancer and Allied Diseases -Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MURILLO (PHARMACY MANAGER)
(212) 639-2206
Entity
Organization
Contact information
Practice address
39-40 CRESCENT ST RM 110, LONG ISLAND CITY, NY 11101-3802
(844) 639-8464
Mailing address
1275 YORK AVE RM H-313, NEW YORK, NY 10065-6007
(212) 639-2206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
034448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160041
PK
—
Enumeration date
05/10/2016
Last updated
08/05/2025
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