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NPI Code Detail

MEDICARE: MSKCC

MEDICARE: MSKCC
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
1284300000XSpecial Hospital046373NY

General Provider Information

NPI Number : 1255654463
Entity Type Code : Organization
Provider Name (Legal Business Name) : MSKCC
Provider Business Mailing Address
First Line : 4129 MORGAN ST
Second Line :
City : LITTLE NECK
State : NY
Zip : 11363-1722
Country : US
Telephone Number : 718-631-5059
Fax Number :
Provider Business Practice Location Address
First Line : 160 E 53RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-5243
Country : US
Telephone Number : 212-610-0117
Fax Number : 212-588-1343
Authorized Official
Title or Position : PHARMACIST
Name : MS. SWATI DE-DAS
Credential : PHARM D.
Telephone Number : 212-610-0117
Provider Enumeration Date : 03/03/2010
Last Update Date : 03/03/2010

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Directions to “MSKCC ” Practice Location

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