MEDICARE: NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1144182429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	1 RESEARCH RD
Second Line	:
City	:	RIDGE
State	:	NY
Zip	:	11961-2701
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	581 MIDDLE RD
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-1916
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:

Authorized Official
Title or Position	:	SENIOR DIRECTOR
Name	:	PATRICIA DANDRAIA
Credential	:
Telephone Number	:	631-751-3000

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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