Healthcare Provider Details

I. General information

NPI: 1194736199
Provider Name (Legal Business Name): SOUTH SHORE MAGNETIC RESONANCE IMAGING ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 02/28/2023
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 LOUDEN AVE
AMITYVILLE NY
11701-2736
US

IV. Provider business mailing address

81 LOUDEN AVE
AMITYVILLE NY
11701-2736
US

V. Phone/Fax

Practice location:
  • Phone: 631-789-7000
  • Fax:
Mailing address:
  • Phone: 631-789-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. AMARJIT SINGH
Title or Position: OWNER
Credential: MD
Phone: 631-789-7225