Provider Demographics
NPI:1326117615
Name:HEMATOLOGY ONCOLOGY ASSOCIATES OF BROOKLYN, LLP
Entity Type:Organization
Organization Name:HEMATOLOGY ONCOLOGY ASSOCIATES OF BROOKLYN, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-382-8500
Mailing Address - Street 1:1660 E 14TH ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1170
Mailing Address - Country:US
Mailing Address - Phone:718-382-8500
Mailing Address - Fax:718-382-4684
Practice Address - Street 1:1660 E 14TH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1170
Practice Address - Country:US
Practice Address - Phone:718-382-8500
Practice Address - Fax:718-382-4684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3970590001Medicare NSC