Organization
SOUTH NASSAU ONCOLOGY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BOGEN (CFO)
(516) 632-3935
Entity
Organization
Contact information
Practice address
242 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
Mailing address
1 HEALTHY WAY, PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1616
(516) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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