# STAND-UP MRI OF EAST ELMHURST, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba: Stand-Up MRI of the South Bronx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467172676
- **Authorized official:** HAROLD M TICE M.D. (OWNER)
- **Authorized official phone:** (631) 694-2929

## Contact information

- **Practice address:** 618 MORRIS AVENUE, 1ST FLOOR, BRONX, NY 10451
- **Practice address phone:** (718) 540-6898
- **Practice address fax:** (718) 540-6899
- **Mailing address:** 110 MARCUS DRIVE, MELVILLE, NY 11747-4227
- **Mailing address phone:** (631) 390-1793
- **Mailing address fax:** (631) 390-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 09/23/2022