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Organization

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

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

Provider details

NPI number
Authorized official
HAROLD M TICE M.D. (OWNER)
(631) 694-2929
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
08/29/2022
Last updated
09/23/2022
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