Organization
MEMORIAL SLOAN KETTERING CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MATHEW (CLINICAL PHARMACY MANAGER)
(212) 639-8803
Entity
Organization
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8803
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
058255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L47411570055771
DRIVER'S LICENSE
NJ
Enumeration date
06/10/2016
Last updated
06/10/2016
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