Provider Type Icon

HEMATOLOGY AND ONCOLOGY OF LI PLLC NPI 1629275938


NPI Information

NPI: 1629275938
Provider Name: HEMATOLOGY AND ONCOLOGY OF LI PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
200 BOUNDARY AVE
SUITE 200
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 755-2404
Get Directions

HEMATOLOGY AND ONCOLOGY OF LI PLLC is a hematology and oncology internal medicine in Massapequa, NY. The provider is 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. HEMATOLOGY AND ONCOLOGY OF LI PLLC NPI is 1629275938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 BOUNDARY AVE
SUITE 200
MASSAPEQUA, NY
ZIP 11758-152
Phone: (516) 755-2404
Fax: (516) 755-2405

The provider's authorized official is Natayla Krichmar .
The authorized official title is Doctor And Owner and has the following contact phone number (516) 755-2404.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 2/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes
2208D00000XGeneral PracticeNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102777939MEDICAIDNEW YORK
2I52314MEDICARE UPINNEW YORK
36Z4721MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.