MEDICARE: DR. SWEETY SALIL MARFATIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	187857	NY

General Provider Information

NPI Number	:	1033265160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SWEETY SALIL MARFATIA MD

Provider Business Mailing Address
First Line	:	2704 EASA PL
Second Line	:	BELLMORE,
City	:	BELLMORE
State	:	NY
Zip	:	11710-5422
Country	:	US
Telephone Number	:	516-318-9974
Fax Number	:	516-783-8180

Provider Business Practice Location Address
First Line	:	92-29,SUITE 1A,QUEENS BLVD
Second Line	:	REGO PARK,
City	:	NEW YORK
State	:	NY
Zip	:	11374
Country	:	US
Telephone Number	:	718-897-5700
Fax Number	:	718-897-2087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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