Provider Demographics
NPI:1508956293
Name:NASSAU HEMATOLOGY ONCOLOGY, PC
Entity Type:Organization
Organization Name:NASSAU HEMATOLOGY ONCOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-358-2400
Mailing Address - Street 1:410 LAKEVILLE RD
Mailing Address - Street 2:STE 311
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1101
Mailing Address - Country:US
Mailing Address - Phone:516-358-2400
Mailing Address - Fax:516-358-5535
Practice Address - Street 1:410 LAKEVILLE RD
Practice Address - Street 2:STE 311
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1101
Practice Address - Country:US
Practice Address - Phone:516-358-2400
Practice Address - Fax:516-358-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW33981Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER