Healthcare Provider Details

I. General information

NPI: 1518898865
Provider Name (Legal Business Name): NYULANGONE PERLMUTTER CANCER CENTER - SUFFOLK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL RD STE 213
EAST PATCHOGUE NY
11772-8814
US

IV. Provider business mailing address

100 HOSPITAL RD STE 213
EAST PATCHOGUE NY
11772-8814
US

V. Phone/Fax

Practice location:
  • Phone: 631-576-8623
  • Fax:
Mailing address:
  • Phone: 631-576-8623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SEAN PATRICK MCELHINNEY
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 347-390-7782