Organization
SOUTHAMPTON RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN VANDYNE MD (PRESIDENT)
(631) 727-2755
Entity
Organization
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968
(631) 726-8200
(631) 726-8250
Mailing address
1333 ROANOKE AVE, RIVERHEAD, NY 11901
(631) 727-2755
(631) 727-4391
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
10/11/2007
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