institution
Pain And Sport Medicine Of New York Pc
Specialist in New York, New York
NPI 1336260595

Pain And Sport Medicine Of New York Pc is a Specialist based in New York, NY. Pain And Sport Medicine Of New York Pc practices in New York, NY. The NPI Number for Pain And Sport Medicine Of New York Pc is 1336260595 and holds a License No. 204326 (New York).

The current practice location address for Pain And Sport Medicine Of New York Pc is 32 E Broadway Rm 501, New York, NY and can be reached out via phone at 212-925-8839 and via fax at 212-226-8498.

Location: 32 E Broadway Rm 501, New York, NY, 10021-2754
institution
Provider Profile Details
NPI Number
1336260595
Provider Name
Pain And Sport Medicine Of New York Pc
Credential
Provider Entity Type
Organization
Address
32 E Broadway Rm 501, New York, NY, 10021-2754
Phone Number
212-925-8839
Fax Number
212-226-8498
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149219 01 NY WELLCARE
2I2493 01 NY BLUE CROSS BLUE SHIELD
P646923 01 NY OXFORD
10210203 01 NY AMERIGROUP
1888811 05 NY
2493590 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
32 E Broadway Rm 501
City
State
Zip
10002-6891
Phone Number
212-925-8839
Fax Number
212-226-8498
person
Provider Business Mailing Address Details
Address
32 E Broadway Rm 501
City
State
Zip
10002-6891
Phone Number
212-925-8839
Fax Number
212-226-8498
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
204326 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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