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General NPI Number Information
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NPI Number | 1649083551
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Entity Type | Organization
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Legal Business Name | NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 10715 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2240
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Country | US
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Telephone | 718-375-2100
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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 | SENIOR DIRECTOR
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Name | PATRICIA DANDRAIA
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Credential |
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Telephone | 631-751-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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