Provider Demographics
NPI:1750388625
Name:ONCOLOGY AND HEMATOLOGY OF WHITE PLAINS, PLLC
Entity type:Organization
Organization Name:ONCOLOGY AND HEMATOLOGY OF WHITE PLAINS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-684-8100
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-684-8100
Mailing Address - Fax:914-684-8196
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 411
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-684-8100
Practice Address - Fax:914-684-8196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213315174400000X
NY185792174400000X
NY194203174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW35661Medicare ID - Type UnspecifiedSARA SADAN, MD, PLLC