Healthcare Provider Details

I. General information

NPI: 1821241043
Provider Name (Legal Business Name): ROISIN EILISH O'CEARBHAILL MB BCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 66TH ST MEMORIAL SLOAN-KETTERING CANCER CENTER
NEW YORK NY
10065-6800
US

IV. Provider business mailing address

300 E 66TH ST MEMORIAL SLOAN-KETTERING CANCER CENTER
NEW YORK NY
10065-6800
US

V. Phone/Fax

Practice location:
  • Phone: 646-888-4227
  • Fax: 646-888-4265
Mailing address:
  • Phone: 646-888-4227
  • Fax: 646-888-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number256816
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: