Organization Name: | BROOKVILLE HEMATOLOGY ONCOLOGY PLLC |
NPI Number: | 1407090616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE ZERVOS (OWNER) |
Mailing Address: | 333 Glen Head Rd Suite 210 Glen Head |
State: | NY US |
Postal Code: | 115451947 |
Phone Number: | 5166093010 |
Fax Number: | 5166093012 |
NPI Enumeration Date: | 05/01/2009 |
NPI Last Update Date: | 05/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 170701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | 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. |