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General NPI Number Information
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NPI Number | 1013206457
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Entity Type | Organization
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Legal Business Name | AMRUT HEMATOLOGY ONCOLOGY PC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 250-12B HILLSIDE AVE
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City | BELLROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 888-785-3430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7409
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City | HICKSVILLE
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State | NY
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Zip | 11802-7409
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Country | US
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Telephone | 516-547-1674
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANSHU MEHRISHI
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Credential | M.D.
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Telephone | 516-547-1674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 252587
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 252587
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License Number State | NY
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