Healthcare Provider Details

I. General information

NPI: 1457339566
Provider Name (Legal Business Name): ONCOLOGY CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 5TH AVE
NEW YORK NY
10028-0138
US

IV. Provider business mailing address

1045 5TH AVE
NEW YORK NY
10028-0138
US

V. Phone/Fax

Practice location:
  • Phone: 212-249-9141
  • Fax: 212-628-2948
Mailing address:
  • Phone: 212-249-9141
  • Fax: 212-628-2948

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: SEYMOUR COHEN
Title or Position: OWNER
Credential: MD
Phone: 212-249-9141