Organization · Type 2 NPI

Winthrop Faculty Medical Affiliates University Faculty Practice Corp

Hematology & Oncology Physician · Mineola, NY

NPI number 1477911436 Active

Practice location

200 Old Country Rd, Suite 450
Mineola, NY 11501-4235

Mailing address

700 Hicksville Rd, Suite 204
Bethpage, NY 11714-3471

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone 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.

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About NPI 1477911436

Winthrop Faculty Medical Affiliates University Faculty Practice Corp's National Provider Identifier is 1477911436, issued on Feb 5, 2016. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Mineola, NY. The record was last updated on Mar 30, 2016.