Healthcare Provider Details
I. General information
NPI: 1609863448
Provider Name (Legal Business Name): NEW YORK ONCOLOGY HEMATOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2005
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 PATROON CREEK BLVD STE 1
ALBANY NY
12206-5014
US
IV. Provider business mailing address
449 RT 146 SUITE 101
CLIFTON PARK NY
12065
US
V. Phone/Fax
- Phone: 518-489-0044
- Fax: 518-489-3591
- Phone: 518-373-3800
- Fax: 518-445-8337
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KAREN
TEDESCO
Title or Position: PRESIDENT
Credential: MD
Phone: 518-489-0044