Organization · Type 2 NPI

North Shore Hematology/oncology Associates PC

Radiology Clinic/Center · Port Jefferson Station, NY

NPI number 1831732049 Active

Practice location

1500 Route 112 Bldg 2
Port Jefferson Station, NY 11776-8055

Call (631) 751-3000 Map

Fax (631) 509-6559

Mailing address

1500 Route 112 Ste 101
Port Jefferson Station, NY 11776-8054

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

3 other providers at this address

Jared Michael Dunkin, MDDiagnostic Radiology Physician Port Jefferson Station, NY NPI 1619148582
Tony Abraham, DONuclear Radiology Physician Port Jefferson Station, NY NPI 1912115023
Varghese Cherian, MDDiagnostic Radiology Physician Port Jefferson Station, NY NPI 1093974750

NPI record

NPI: 1831732049
Entity type: Organization (Type 2)
Issued: Oct 21, 2019
Last updated: Oct 21, 2019
Status: Active
Subpart: Yes of North Shore Hematology Oncology Associates PC

Other names

Ny Imagining Specialists · doing business as

Authorized official

Patricia Dandraia
Credentialing Coordinator
(631) 751-3000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831732049

North Shore Hematology/oncology Associates PC's National Provider Identifier is 1831732049, issued on Oct 21, 2019. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 21, 2019.