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North Shore Hematology/Oncology Associates PC

Urology in Hewlett, NY. Organization (NPI-2).

NPI number1982376216
StatusActive
Last updated in NPPESJan 27, 2025

Details

NPI
1982376216
Entity type
Organization (NPI-2)
Legal business name
North Shore Hematology/Oncology Associates PC
Organization subpart
Yes
Enumeration date
Oct 5, 2021
Certification date
Jan 27, 2025
Last updated
Jan 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes
2085U0001X Radiology, Diagnostic Ultrasound––

Other names

  • Ny Cancer & Blood Specialists (Doing Business As)

Practice location

1158 Broadway
Hewlett, NY 11557-2302

Phone 631-751-3000 · Fax 631-751-0506

Mailing address

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Phone 163-175-1300 · Fax 631-751-0506

Authorized official

Patricia Dandraia
Director Of Credentialing
6317513000

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