=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750388625
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONCOLOGY AND HEMATOLOGY OF WHITE PLAINS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 244 WESTCHESTER AVE SUITE 411
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-684-8100
-----------------------------------------------------
Fax | 914-684-8196
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 244 WESTCHESTER AVE SUITE 411
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-684-8100
-----------------------------------------------------
Fax | 914-684-8196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SARA SADAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 914-684-8100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 213315
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 185792
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 194203
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------