Organization · Type 2 NPI

Department of Medicine MSG

Hematology & Oncology Physician · Oswego, NY

NPI number 1174543979 Active

Practice location

140 W 6th St, Suite 110
Oswego, NY 13126-2525

Fax (315) 342-6219

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

16 other providers at this address

About NPI 1174543979

Department of Medicine MSG's National Provider Identifier is 1174543979, issued on Jul 21, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Oswego, NY. The record was last updated on Jul 16, 2013.