SOUTH SHORE DIAGNOSTICS INC. NPI 1659536985

NPI Information

SOUTH SHORE DIAGNOSTICS, INC. is a radiologic technologist in Valley Stream, NY. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. SOUTH SHORE DIAGNOSTICS, INC. NPI is 1659536985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 FRANKLIN AVE
VALLEY STREAM, NY
ZIP 11580-107
Phone: (516) 599-8280

The provider's authorized official is Leslie E. Woodbine .
The authorized official title is President and has the following contact phone number (516) 599-8280.

The CLIA number assigned to this NPI record is 33D2018491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 7/25/2008.

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:

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