Organization
STAND-UP MRI OF EAST ELMHURST, P.C.
Active
Other names
Stand-Up MRI of Great Neck
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD M TICE M.D. (OWNER)
(631) 694-2929
Entity
Organization
Contact information
Practice address
600 NORTHERN BLVD, SUITE 117, GREAT NECK, NY 11021-5206
(516) 478-0004
Mailing address
PO BOX 127, FARMINGDALE, NY 11735-0127
(631) 694-2816
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
04/20/2022
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