Provider Demographics
NPI:1528003993
Name:MANHATTAN HEMATOLOGY ONCOLOGY
Entity Type:Organization
Organization Name:MANHATTAN HEMATOLOGY ONCOLOGY
Other - Org Name:MANHATTAN HEMATOLOGY ONCOLOGY ASSOC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-689-6791
Mailing Address - Street 1:157 E 32ND ST
Mailing Address - Street 2:FL 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6028
Mailing Address - Country:US
Mailing Address - Phone:212-689-6791
Mailing Address - Fax:212-689-7059
Practice Address - Street 1:157 E 32ND ST
Practice Address - Street 2:FL 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6028
Practice Address - Country:US
Practice Address - Phone:212-689-6791
Practice Address - Fax:212-689-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157737207RH0003X
NY224640207RH0003X
MNME83704207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6Z5451OtherMEDICARE P-TAN
NYA60899Medicare UPIN
NYI58276Medicare UPIN