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Organization

SOUTH NASSAU ONCOLOGY, PC

Active
Parent organization
SOUTH SHORE RADIATION ONCOLOGY
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH SHORE RADIATION ONCOLOGY
Authorized official
DR. EDWARD MULLEN MD (PRESIDENT)
(516) 632-3303
Entity
Organization

Contact information

Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3303
(516) 632-3325
Mailing address
1115 MAIN ST, PLEASANT VIEW, TN 37146-8136
(866) 353-0360
(615) 523-2882

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
NY

Other

Enumeration date
12/16/2010
Last updated
12/16/2010
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