Organization
STAND-UP MRI OF DEER PARK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M HERSHOWITZ M.D. (OWNER)
(631) 396-1050
Entity
Organization
Contact information
Practice address
1118 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 243-3222
(631) 243-3355
Mailing address
PO BOX 170, FARMINGDALE, NY 11735-0170
(631) 396-1050
(631) 396-1056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02864868
—
NY
Enumeration date
09/28/2006
Last updated
07/13/2012
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