Organization
SN RADIOLOGICAL PRACTICE PC
Active
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Authorized official
STEPHEN LASTIG MD (PRESIDENT)
(516) 632-4656
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-4656
Mailing address
1 HEALTHY WAY, ATTN: PHYSICAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1616
(516) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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