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Organization

SEA SHORE RADIOLOGY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS R ROSSI M.D. (PRESIDENT)
(516) 354-4200
Entity
Organization

Contact information

Practice address
327 BEACH 19TH ST, RADIOLOGY DEPT., FAR ROCKAWAY, NY 11691-4423
(718) 869-7710
(718) 869-7192
Mailing address
1575 HILLSIDE AVE, SUITE 301, NEW HYDE PARK, NY 11040-2501
(516) 354-4200
(516) 358-2825

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00466959
NY
Enumeration date
08/31/2006
Last updated
08/22/2020
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