MEDICARE: NYEMBEZI L DHLIWAYO MD

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
1	207RX0202X	Medical Oncology Physician	333477	NY
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	036-157112	IL

General Provider Information

NPI Number	:	1275023574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYEMBEZI L DHLIWAYO MD

Provider Business Mailing Address
First Line	:	1 RESEARCH RD
Second Line	:
City	:	RIDGE
State	:	NY
Zip	:	11961-2701
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2428
Country	:	US
Telephone Number	:	855-528-7322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	02/03/2026

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