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General NPI Number Information
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NPI Number | 1851747828
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING CANCER CENTER
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 39-40 CRESCENT ST RM 110
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-3802
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Country | US
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Telephone | 844-639-8464
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE RM H-313
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-2206
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SUSAN MURILLO
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Credential |
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Telephone | 212-639-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 034448
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License Number State | NY
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