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New York Spine & Pain Care, PC

Pain Medicine, Interventional Pain Medicine in Astoria, NY. Organization (NPI-2).

NPI number1760620058
StatusActive
Last updated in NPPESJan 26, 2009

Details

NPI
1760620058
Entity type
Organization (NPI-2)
Legal business name
New York Spine & Pain Care, PC
Organization subpart
No
Enumeration date
Jan 26, 2009
Last updated
Jan 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine224928NYYes

Practice location

2381 38th St
Astoria, NY 11105-1909

Phone 172-777-1790

Mailing address

Po Box 191
Mineola, NY 11501-0191

Phone 516-739-3862

Authorized official

David R Adin
Owner
7187771790

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