Organization · Type 2 NPI

Icahn School of Medicine at Mount Sinai

Hematology & Oncology Physician · Merrick, NY

NPI number 1912499401 Active

Practice location

2209 Merrick Rd Ste 101
Merrick, NY 11566

Mailing address

1 Healthy Way
Oceanside, NY 11572-1551

Other practice locations

  • 1 Healthy Way, Oceanside, NY 11572-1551 · (516) 546-5000

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705XNone listed
Oncology Registered Nurse 163WX0200XNone listed
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone 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.

2 other providers at this address

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About NPI 1912499401

Icahn School of Medicine at Mount Sinai's National Provider Identifier is 1912499401, issued on May 31, 2018. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Merrick, NY. The record was last updated on Jun 8, 2018.