| NPI | 1467943522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Credentialing COO Rdinator 631-751-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 261QX0203X Clinic/Center Oncology, Radiation |
| 261QR0200X Clinic/Center Radiology | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-01-31 |