Provider Demographics
NPI:1750300968
Name:HEMATOLOGY & MEDICAL ONCOLOGY, P.C.
Entity Type:Organization
Organization Name:HEMATOLOGY & MEDICAL ONCOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-701-0088
Mailing Address - Street 1:9920 4TH AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-8333
Mailing Address - Country:US
Mailing Address - Phone:718-701-0088
Mailing Address - Fax:718-701-2597
Practice Address - Street 1:9920 4TH AVE
Practice Address - Street 2:SUITES 310, 311, 314
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8333
Practice Address - Country:US
Practice Address - Phone:718-921-1672
Practice Address - Fax:718-921-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty