New York Spine Surgery & Rehabilitation Medicine, PLLC
Orthopaedic Surgery in Poughkeepsie, NY. Organization (NPI-2).
NPI number1295872679
StatusActive
Last updated in NPPESFeb 19, 2008
Details
- NPI
- 1295872679
- Entity type
- Organization (NPI-2)
- Legal business name
- New York Spine Surgery & Rehabilitation Medicine, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Feb 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 202111-0 | NY | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 225259-1 | NY | |
| 363AM0700X | Physician Assistant, Medical | 011524-1 | NY |
Practice location
243 North RdSuite 202s
Poughkeepsie, NY 12601-1172
Phone 845-471-9200 · Fax 845-471-1551
Mailing address
243 North RdSuite 202s
Poughkeepsie, NY 12601-1172
Phone 845-471-9200 · Fax 845-471-1551
Authorized official
Jacqueline Elaine Reeder
Office Manager
8454719200
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