# SOUTH SHORE NUCLEAR DIAGNOSTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912976119
- **Authorized official:** MR. EDWARD J GRACE (DIRECTOR OF BILLING)
- **Authorized official phone:** (610) 993-1640

## Contact information

- **Practice address:** 30 HEMPSTEAD AVE, SUITE 246, ROCKVILLE CENTRE, NY 11570-4033
- **Practice address phone:** (516) 716-5051
- **Practice address fax:** (516) 764-5113
- **Mailing address:** 43 LEOPARD RD, SUITE 200, PAOLI, PA 19301-1552
- **Mailing address phone:** (610) 993-1640
- **Mailing address fax:** (610) 993-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 08/22/2020