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General NPI Number Information
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NPI Number | 1083660781
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Entity Type | Individual
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Provider Name | GIUSEPPE CONDEMI M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 215 E 95TH ST FRNT 2
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City | NEW YORK
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State | NY
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Zip | 10128-4077
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Country | US
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Telephone | 718-732-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RESEARCH RD
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City | RIDGE
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State | NY
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Zip | 11961-2701
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Country | US
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Telephone | 631-751-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA07282200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 221674
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License Number State | NY
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