Organization
STAND-UP MRI OF CARLE PLACE, P.C.
Active
Organization
STAND-UP MRI OF CARLE PLACE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M. HERSHOWITZ M.D. (OWNER)
(631) 694-2816
Entity
Organization
Contact information
Practice address
31 OLD COUNTRY RD, CARLE PLACE, NY 11514-1800
(516) 746-2248
(516) 746-2218
Mailing address
PO BOX 170, FARMINGDALE, NY 11735-0170
(631) 694-2816
(631) 396-1056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02865130
—
NY
Enumeration date
09/28/2006
Last updated
04/22/2015
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