Organization
SOUTH SHORE RADIATION ONCOLOGY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MULLEN MD (PHYSICIAN)
(516) 632-3380
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3303
Mailing address
PO BOX 10266, UNIONDALE, NY 11555-0266
(516) 632-3303
(516) 632-3325
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544287
—
NY
Enumeration date
07/29/2005
Last updated
07/21/2022
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