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Organization
SOUTH SHORE NEUROLOGIC ASSOCIATES PC
Active
Organization
SOUTH SHORE NEUROLOGIC ASSOCIATES PC
Active
Other names
Brookhaven MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GERALD MORETA M.D. (PRESIDENT)
(631) 758-1910
Entity
Organization
Contact information
Practice address
77 MEDFORD AVE, PATCHOGUE, NY 11772-1281
(631) 654-5555
(631) 475-7185
Mailing address
77 MEDFORD AVE, PATCHOGUE, NY 11772
(631) 758-1910
(631) 475-7185
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/01/2006
Last updated
01/06/2023
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