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General NPI Number Information
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NPI Number | 1942363403
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Entity Type | Organization
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Legal Business Name | GARDEN CITY ONCOLOGY,P.C.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 520 FRANKLIN AVE SUITE 253
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-742-5353
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Fax | 516-742-4207
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Provider Business Mailing Address
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Address Line | 520 FRANKLIN AVE SUITE 253
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-742-5353
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Fax | 516-742-4207
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEO WIENER
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Credential | M.D.,
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Telephone | 516-742-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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