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General NPI Number Information
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NPI Number | 1609919455
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 4900 BROAD RD
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City | SYRACUSE
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State | NY
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Zip | 13215-2265
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Country | US
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Telephone | 315-472-7504
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Fax | 315-479-8639
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Provider Business Mailing Address
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Address Line | 5008 BRITTONFIELD PKWY SUITE 700
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9248
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Country | US
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Telephone | 315-472-7504
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Fax | 315-479-8639
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Authorized Official
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Title or Position | CONTRACT ANALYST
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Name | MICHAEL L NOTARO
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Credential |
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Telephone | 315-472-7504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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