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NPI Code Detail

MEDICARE: RICHMOND CANCER AND BLOOD DISORDERS P.C.

MEDICARE: RICHMOND CANCER AND BLOOD DISORDERS P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician151450NY

General Provider Information

NPI Number : 1184633513
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND CANCER AND BLOOD DISORDERS P.C.
Provider Business Mailing Address
First Line : 15 OLD FARMERS LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-1439
Country : US
Telephone Number : 718-979-2523
Fax Number : 718-273-3114
Provider Business Practice Location Address
First Line : 1384 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3908
Country : US
Telephone Number : 718-273-2277
Fax Number : 718-273-3114
Authorized Official
Title or Position : PRESIDENT
Name : DR. SEETHA R MURUKUTLA
Credential : M.D.
Telephone Number : 718-979-2523
Provider Enumeration Date : 08/05/2006
Last Update Date : 10/06/2011

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Directions to “RICHMOND CANCER AND BLOOD DISORDERS P.C. ” Practice Location

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