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

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stand-Up MRI of Great Neck
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568828861
- **Authorized official:** HAROLD M TICE M.D. (OWNER)
- **Authorized official phone:** (631) 694-2929

## Contact information

- **Practice address:** 600 NORTHERN BLVD, SUITE 117, GREAT NECK, NY 11021-5206
- **Practice address phone:** (516) 478-0004
- **Mailing address:** PO BOX 127, FARMINGDALE, NY 11735-0127
- **Mailing address phone:** (631) 694-2816

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 04/20/2022