Healthcare Provider Details

I. General information

NPI: 1275453367
Provider Name (Legal Business Name): MA BLOOD AND CANCER MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WINTHROP ST
NEW HYDE PARK NY
11040-3144
US

IV. Provider business mailing address

11 WINTHROP ST
NEW HYDE PARK NY
11040-3144
US

V. Phone/Fax

Practice location:
  • Phone: 908-888-0032
  • Fax:
Mailing address:
  • Phone: 908-888-0032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MEENA AHLUWALIA
Title or Position: OWNER
Credential: MD
Phone: 908-888-0032