National Provider Identifier Database

NORTH ISLAND HEMATOLOGY ONCOLOGY
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

NORTH ISLAND HEMATOLOGY ONCOLOGY
2500 NESCONSET HWY
BLDG 26B
STONY BROOK, NY11790-2555
Phone: 631-751-8305
Fax: 631-751-8318
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for NORTH ISLAND HEMATOLOGY ONCOLOGY

NPI Number 1104973049
Legal business name
LBN
NORTH ISLAND HEMATOLOGY ONCOLOGY
Authorized official ROCCO CARUSO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 149725
  • NY Medicaid: 00896011

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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