# STAND-UP MRI OF MANHATTAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194956268
- **Authorized official:** RONALD S WAGNER M.D. (OWNER)
- **Authorized official phone:** (631) 694-2816

## Contact information

- **Practice address:** 191 AVENUE A, NEW YORK, NY 10009-4094
- **Practice address phone:** (212) 674-8300
- **Practice address fax:** (212) 674-8828
- **Mailing address:** 110 MARCUS DRIVE, MELVILLE, NY 11747-4228
- **Mailing address phone:** (631) 390-1667
- **Mailing address fax:** (631) 390-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 07/07/2022