Twin Forks Hematology Oncology Pc7

NPI 1275652455 - Internal Medicine - 207RH0003X

NPI Details
NPI 1275652455
Enumeration Date 03/28/2007
Last Updated 06/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN S SUSAN
Position PRESIDENT
Phone (631) 727-7100
Fax (631) 727-6754
Practice Location
1267 E MAIN ST
RIVERHEAD NY, 11901-2673, US
Phone (631) 727-7100
Fax (631) 727-6754
Business Location
1267 E MAIN ST
RIVERHEAD NY, 11901-2673, US
Phone (631) 727-7100
Fax (631) 727-6754
Toxanomy
Taxonomy Code 207RH0003X
License State New York
License Number 202139
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According to our database, Twin Forks Hematology Oncology Pc7 NPI is 1275652455, taxonomy code is 207RH0003X and license number is 202139, license state is located at New York. Twin Forks Hematology Oncology Pc7 physically located at 1267 E Main St, Riverhead NY, 11901-2673. NPI Number 1033115704 has the healthcare provider type.

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1275652455 NPI number is provided on an as is basis without warranty of any kind. 1275652455 is maintained by the National Plan & Provider Enumeration System. The contents of Twin Forks Hematology Oncology Pc7 are for informational purposes only.