Organization
STAND-UP MRI OF EAST ELMHURST, PC
Active
Organization
STAND-UP MRI OF EAST ELMHURST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD WAXMAN (DIRECTOR OF OPERATIONS)
(631) 694-2816
Entity
Organization
Contact information
Practice address
7533 31ST AVE, EAST ELMHURST, NY 11370-1811
(718) 779-2825
(718) 779-5349
Mailing address
7533 31ST AVE, EAST ELMHURST, NY 11370-1811
(718) 779-2825
(718) 779-5349
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02916012
—
NY
Enumeration date
02/22/2006
Last updated
06/09/2008
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